Wal-Mart Sores, Inc.
NPI #1477656494 in Antelope, California
Provider Information
- NPI Number
- 1477656494
- Entity Type
- Organization
- Organization Name
- Wal-Mart Sores, Inc.
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Sep 6, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 5821 ANTELOPE NORTH RD
- City
- Antelope
- State
- California
- ZIP Code
- 95843-3927
- Phone
- (916) 729-6254
Authorized Official
- Name
- TAMMY J BOYD
- Title
- CONTRACT COORDINATOR
- Phone
- (479) 277-1359
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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