Wal-Mart Stores, INC

NPI #1730263054 in Ephraim, Utah

Provider Information

NPI Number: 1730263054
Entity Type: Organization
Organization Name: Wal-Mart Stores, INC
Primary Specialty: Technician/Technologist - Optician
Enumeration Date: Oct 24, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 777 N MAIN ST
City: Ephraim
State: Utah
ZIP Code: 84627-1165
Phone: (435) 283-8189

Authorized Official

Name: NICOLE D GENTILE
Title: NPI COORDINATOR
Phone: (316) 788-5580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist - Optician — Optician	156FX1800X	Primary

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