Wal-Mart Stores Louisiana, LLC

NPI #1164508560 in Galliano, Louisiana

Provider Information

NPI Number: 1164508560
Entity Type: Organization
Organization Name: Wal-Mart Stores Louisiana, LLC
Primary Specialty: Eyewear Supplier
Enumeration Date: Oct 27, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 16759 HWY 3235
City: Galliano
State: Louisiana
ZIP Code: 70354
Phone: (985) 632-4040

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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