Wal-Mart Stores INC

NPI #1427473107 in South Gate, California

Provider Information

NPI Number
1427473107
Entity Type
Organization
Organization Name
Wal-Mart Stores INC
Primary Specialty
Eyewear Supplier
Enumeration Date
Mar 4, 2014
Last Updated
Mar 4, 2014

Practice Location

Address
4651 FIRESTONE BLVD
ZIP Code
90280-3446
Phone
(323) 282-4805

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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