Wal-Mart Stores INC

NPI #1215069661 in Reno, Nevada

Provider Information

NPI Number
1215069661
Entity Type
Organization
Organization Name
Wal-Mart Stores INC
Primary Specialty
Eyewear Supplier
Enumeration Date
Mar 12, 2007
Last Updated
Jul 28, 2011

Practice Location

Address
2425 E 2ND ST
City
Reno
State
Nevada
ZIP Code
89502
Phone
(775) 359-8220

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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