Wal-Mart Stores INC

NPI #1508141219 in Forest Park, Illinois

Provider Information

NPI Number
1508141219
Entity Type
Organization
Organization Name
Wal-Mart Stores INC
Primary Specialty
Eyewear Supplier
Enumeration Date
Oct 13, 2011
Last Updated
Oct 13, 2011

Practice Location

Address
1300 DES PLAINES AVE
ZIP Code
60130-2507
Phone
(708) 771-2270

Authorized Official

Name
DIANNA PAINTER
Title
ENROLLMENT SPECIALIST
Phone
(479) 277-1238

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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