Wal-Mart Stores, Inc.

NPI #1194959007 in Maricopa, Arizona

Provider Information

NPI Number: 1194959007
Entity Type: Organization
Organization Name: Wal-Mart Stores, Inc.
Primary Specialty: Eyewear Supplier
Enumeration Date: May 6, 2009
Last Updated: Jul 21, 2022

Practice Location

Address: 41650 W MARICOPA CASA GRANDE HWY
City: Maricopa
State: Arizona
ZIP Code: 85138-3206
Phone: (520) 568-0419

Authorized Official

Name: MS. SARAH LITTLE
Title: DIRECTOR HEALTHCARE CONTRACTING
Phone: (479) 277-2500

Specialties & Taxonomy Codes

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

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