Wal-Mart Stores INC
NPI #1669553707 in Johnsburg, Illinois
Provider Information
- NPI Number
- 1669553707
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores INC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Oct 17, 2006
- Last Updated
- Dec 6, 2011
Practice Location
Authorized Official
- Name
- DIANNA PAINTER
- Title
- ENROLLMENT SPECIALIST
- Phone
- (479) 277-1238
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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