Wal-Mart Stores INC

NPI #1548578156 in Arlington, Washington

Provider Information

NPI Number
1548578156
Entity Type
Organization
Organization Name
Wal-Mart Stores INC
Primary Specialty
Eyewear Supplier
Enumeration Date
Sep 16, 2010
Last Updated
Sep 16, 2010

Practice Location

Address
4010 172ND ST
ZIP Code
98223
Phone
(360) 386-4536

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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