Wal-Mart Stores, INC

NPI #1396155701 in Sherwood, Oregon

Provider Information

NPI Number
1396155701
Entity Type
Organization
Organization Name
Wal-Mart Stores, INC
Primary Specialty
Eyewear Supplier
Enumeration Date
May 7, 2014
Last Updated
Aug 11, 2014

Practice Location

Address
21320 SW LANGER FARM
State
Oregon
ZIP Code
97140
Phone
(503) 825-4055

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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