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
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 - OpticianOptician

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