Wal-Mart Stores, Inc.
NPI #1700919883 in Oak Park Heights, Minnesota
Provider Information
- NPI Number
- 1700919883
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores, Inc.
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Mar 14, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 5815 NORELL AVE N
- City
- Oak Park Heights
- State
- Minnesota
- ZIP Code
- 55082-1766
- Phone
- (651) 439-7476
Authorized Official
- Name
- MRS. NORMA B SMITH
- Title
- MPI ASSOCIATE
- Phone
- (479) 277-1703
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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