Walmart Inc.

NPI #1194807685 in Broomfield, Colorado

Provider Information

NPI Number: 1194807685
Entity Type: Organization
Organization Name: Walmart Inc.
Primary Specialty: Eyewear Supplier
Enumeration Date: Oct 20, 2006
Last Updated: Dec 8, 2023

Practice Location

Address: 500 SUMMIT BLVD.
City: Broomfield
State: Colorado
ZIP Code: 80021
Phone: (303) 466-3928

Authorized Official

Name: MATTHEW MCMULLIN
Title: DIRECTOR
Phone: (479) 371-8711

Specialties & Taxonomy Codes

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

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