Wal-Mart Stores INC

NPI #1427321249 in Kapolei, Hawaii

Provider Information

NPI Number
1427321249
Entity Type
Organization
Organization Name
Wal-Mart Stores INC
Primary Specialty
Eyewear Supplier
Enumeration Date
Feb 10, 2012
Last Updated
Feb 10, 2012

Practice Location

Address
91-600 FARRINGTON HWY
State
Hawaii
ZIP Code
96707
Phone
(808) 206-9402

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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