Wal-Mart Stores INC
NPI #1629469788 in Suisun City, California
Provider Information
- NPI Number
- 1629469788
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores INC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Feb 11, 2015
- Last Updated
- Feb 11, 2015
Practice Location
- Address
- 350 WALTERS RD
- City
- Suisun City
- State
- California
- ZIP Code
- 94585-3043
- Phone
- (707) 639-4984
Authorized Official
- Name
- DEB LAUVER
- Title
- SPECIALIST PLAN ENROLLMENT
- Phone
- (479) 258-2115
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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