Wal-Mart Stores INC
NPI #1427447945 in Spanish Fork, Utah
Provider Information
- NPI Number
- 1427447945
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores INC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Jan 21, 2015
- Last Updated
- Jan 27, 2015
Practice Location
- Address
- 1206 N CANYON CREEK PKWY
- City
- Spanish Fork
- State
- Utah
- ZIP Code
- 84660-2635
- Phone
- (801) 702-4974
Authorized Official
- Name
- DEB LAUVER
- Title
- SPECIALIST PLAN ENROLLMENT
- Phone
- (479) 258-2115
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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