Wal-Mart Stores, Inc.

NPI #1669485991 in Baxter, Minnesota

Provider Information

NPI Number
1669485991
Entity Type
Organization
Organization Name
Wal-Mart Stores, Inc.
Primary Specialty
Eyewear Supplier
Enumeration Date
Aug 15, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
7295 GLORY RD
City
Baxter
ZIP Code
56425-7308
Phone
(218) 829-2220

Authorized Official

Name
TAMMY J BOYD
Title
CONTRACT COORDINATOR
Phone
(479) 277-1359

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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