Wal-Mart Stores, Inc.

NPI #1194194605 in Post Falls, Idaho

Provider Information

NPI Number: 1194194605
Entity Type: Organization
Organization Name: Wal-Mart Stores, Inc.
Primary Specialty: Eyewear Supplier
Enumeration Date: Sep 15, 2015
Last Updated: Oct 6, 2015

Practice Location

Address: 6403 W POINTE PKWY
City: Post Falls
State: Idaho
ZIP Code: 83854-5517
Phone: (208) 618-5034

Authorized Official

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

Specialties & Taxonomy Codes

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

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