Wal-Mart Stores INC
NPI #1508103078 in Wood River, Illinois
Provider Information
- NPI Number
- 1508103078
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WAL-MART STORES INC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Jan 3, 2013
- Last Updated
- Jan 3, 2013
Practice Location
- Address
- 610 WESLEY DR
- City
- Wood River
- State
- Illinois
- ZIP Code
- 62095-1894
- Phone
- (618) 259-1286
Authorized Official
- Name
- AMY POWERS
- Title
- SPECIALIST, PLAN ENROLLMENT
- Phone
- (479) 204-0709
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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