Wal-Mart Stores, Inc.

NPI #1740659275 in Logan, Utah

Provider Information

NPI Number
1740659275
Entity Type
Organization
Organization Name
Wal-Mart Stores, Inc.
Primary Specialty
Eyewear Supplier
Enumeration Date
Sep 15, 2015
Last Updated
Oct 6, 2015

Practice Location

Address
1150 S 100 W
City
Logan
State
Utah
ZIP Code
84321-5573
Phone
(435) 754-3459

Authorized Official

Name
DEB LAUVER
Title
SPECIALIST
Phone
(479) 258-2115

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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