Wal-Mart Stores, INC

NPI #1144658402 in Andover, Minnesota

Provider Information

NPI Number
1144658402
Entity Type
Organization
Organization Name
Wal-Mart Stores, INC
Primary Specialty
Eyewear Supplier
Enumeration Date
Oct 24, 2013
Last Updated
Oct 24, 2013

Practice Location

Address
1851 BUNKER LAKE BLVD NW
ZIP Code
55304-4010
Phone
(479) 273-4885

Authorized Official

Name
DEB LAUVER
Title
SPECIALIST PLAN ENROLLMENT
Phone
(479) 258-2115

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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