Wal-Mart Stores INC
NPI #1508116807 in Burnsville, Minnesota
Provider Information
- NPI Number
- 1508116807
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores INC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Sep 13, 2012
- Last Updated
- Sep 13, 2012
Practice Location
- Address
- 12200 RIVER RIDGE BLVD
- City
- Burnsville
- State
- Minnesota
- ZIP Code
- 55337-1608
- Phone
- (952) 882-9240
Authorized Official
- Name
- DIANNA PAINTER
- Title
- ENROLLMENT SPECIALIST
- Phone
- (479) 277-1238
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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