Wal-Mart Stores INC

NPI #1205184249 in Rapid City, South Dakota

Provider Information

NPI Number
1205184249
Entity Type
Organization
Organization Name
Wal-Mart Stores INC
Primary Specialty
Eyewear Supplier
Enumeration Date
Aug 23, 2012
Last Updated
Aug 23, 2012

Practice Location

Address
100 E STUMER RD
ZIP Code
57701-6417
Phone
(605) 348-4539

Authorized Official

Name
DIANNA PAINTER
Title
ENROLLMENT SPECIALIST
Phone
(479) 277-1238

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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