Wal-Mart Stores, Inc.
NPI #1144323635 in Pueblo West, Colorado
Provider Information
- NPI Number
- 1144323635
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores, Inc.
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Sep 7, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 78 N MCCULLOCH BLVD
- City
- Pueblo West
- State
- Colorado
- ZIP Code
- 81007-4444
- Phone
- (719) 647-9963
Authorized Official
- Name
- TAMMY J BOYD
- Title
- CONTRACT COORDINATOR
- Phone
- (479) 277-1359
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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