Sam's West, INC

NPI #1366835514 in Ankeny, Iowa

Provider Information

NPI Number
1366835514
Entity Type
Organization
Organization Name
Sam's West, INC
Subpart
Yes (part of a larger organization)
Parent Organization
WAL-MART STORES, INC
Primary Specialty
Eyewear Supplier
Enumeration Date
Mar 12, 2015
Last Updated
Mar 12, 2015

Practice Location

Address
4625 SE DELAWARE AVE
City
Ankeny
State
Iowa
ZIP Code
50021-9351
Phone
(515) 559-1995

Authorized Official

Name
DEB LAUVER
Title
SPECIALIST PLAN ENROLLMENT
Phone
(479) 258-2115

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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