Wal-Mart Stores, Inc.
NPI #1487719399 in Chelan, Washington
Provider Information
- NPI Number
- 1487719399
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores, Inc.
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Dec 22, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 108 APPLE BLOSSOM DR.
- City
- Chelan
- State
- Washington
- ZIP Code
- 98816
- Phone
- (509) 682-2195
Authorized Official
- Name
- BJ RICE
- Title
- PROVIDER ENROLLMENT SPECIALIST
- Phone
- (479) 277-9835
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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