Wal-Mart Stores, INC
NPI #1619067618 in College Place, Washington
Provider Information
- NPI Number
- 1619067618
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores, INC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Oct 13, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 1700 SE MEADOWBROOK BLVD
- City
- College Place
- State
- Washington
- ZIP Code
- 99324-1798
- Phone
- (509) 525-3468
Authorized Official
- Name
- NICOLE D GENTILE
- Title
- NPI COORDINATOR
- Phone
- (316) 788-5580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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