Wal-Mart Stores, INC

NPI #1154410025 in Price, Utah

Provider Information

NPI Number: 1154410025
Entity Type: Organization
Organization Name: Wal-Mart Stores, INC
Primary Specialty: Eyewear Supplier
Enumeration Date: Oct 11, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 255 S HIGHWAY 55
City: Price
State: Utah
ZIP Code: 84501-3533
Phone: (435) 637-6712

Authorized Official

Name: NICOLE D GENTILE
Title: NPI COORDINATOR
Phone: (316) 788-5580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist - Optician — Optician	156FX1800X
Eyewear Supplier	332H00000X	Primary

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