Wal-Mart Stores, Inc.
NPI #1760882666 in Indio, California
Provider Information
- NPI Number
- 1760882666
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores, Inc.
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Aug 27, 2014
- Last Updated
- Aug 27, 2014
Practice Location
- Address
- 82-491 AVENUE 42
- City
- Indio
- State
- California
- ZIP Code
- 92203
- Phone
- (760) 342-6926
Authorized Official
- Name
- LAURA LEVINE
- Title
- DIR. HEALTHCARE CONTRACTING
- Phone
- (479) 204-8550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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