Wal-Mart Stores, Inc.
NPI #1669600490 in Leavenworth, Kansas
Provider Information
- NPI Number
- 1669600490
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores, Inc.
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Jul 1, 2009
- Last Updated
- Jul 1, 2009
Practice Location
- Address
- 5000 10TH AVE
- City
- Leavenworth
- State
- Kansas
- ZIP Code
- 66048
- Phone
- (913) 758-1915
Authorized Official
- Name
- HOLLY C WILKINSON
- Title
- CARRIER SPECAILIST
- Phone
- (479) 204-8320
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
| Technician/Technologist - Optician — Optician |
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