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
- City
- South Gate
- State
- California
- 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 - Optician — Optician |
| Eyewear Supplier |
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