Wal-Mart Stores, Inc.

NPI #1164505251 in Dilworth, Minnesota

Provider Information

NPI Number
1164505251
Entity Type
Organization
Organization Name
Wal-Mart Stores, Inc.
Primary Specialty
Technician/Technologist - Optician
Enumeration Date
Oct 23, 2006
Last Updated
Feb 27, 2008

Practice Location

Address
415 34TH ST N
ZIP Code
56529
Phone
(218) 233-8335

Authorized Official

Name
DAVID J SIMMONS
Title
NPI ASSOCIATE
Phone
(479) 277-9373

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier
Technician/Technologist - OpticianOptician

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