Wal-Mart Stores, Inc.

NPI #1295931087 in Eagle River, Alaska

Provider Information

NPI Number
1295931087
Entity Type
Organization
Organization Name
Wal-Mart Stores, Inc.
Primary Specialty
Eyewear Supplier
Enumeration Date
Jun 27, 2007
Last Updated
Sep 11, 2025

Practice Location

Address
18600 EAGLE RIVER RD
State
Alaska
ZIP Code
99577-8688
Phone
(907) 694-9780

Authorized Official

Name
MISS SABRINA N SUTTON
Title
NPI ASSOCIATE
Phone
(479) 277-1175

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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