Wal-Mart Stores, Inc.
NPI #1205078292 in Scarborough, Maine
Provider Information
- NPI Number
- 1205078292
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores, Inc.
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Apr 6, 2009
- Last Updated
- Apr 6, 2009
Practice Location
- Address
- 500 GALLERY BLVD
- City
- Scarborough
- State
- Maine
- ZIP Code
- 04074-6606
- Phone
- (207) 885-5567
Authorized Official
- Name
- MRS. HOLLY C WILKINSON
- Title
- CARRIER SPECIALIST
- Phone
- (479) 204-8320
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
| Technician/Technologist - Optician — Optician |
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