Wal-Mart Stores, Inc.

NPI #1588079032 in Skokie, Illinois

Provider Information

NPI Number: 1588079032
Entity Type: Organization
Organization Name: Wal-Mart Stores, Inc.
Primary Specialty: Eyewear Supplier
Enumeration Date: Jun 24, 2014
Last Updated: Jul 15, 2014

Practice Location

Address: 3626 TOUHY AVE
City: Skokie
State: Illinois
ZIP Code: 60076-3943
Phone: (847) 983-1414

Authorized Official

Name: MS. LAURA LEVINE
Title: DIRECTOR, HEALTHCARE CONTRACTING AN
Phone: (479) 204-8550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist - Optician — Optician	156FX1800X
Eyewear Supplier	332H00000X	Primary

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