Wal-Mart Stores, Inc.
NPI #1780039115 in Carpentersville, Illinois
Provider Information
- NPI Number
- 1780039115
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores, Inc.
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- May 4, 2016
- Last Updated
- May 4, 2016
Practice Location
- Address
- 365 LAKE MARIAN ROAD
- City
- Carpentersville
- State
- Illinois
- ZIP Code
- 60110
- Phone
- (847) 426-5251
Authorized Official
- Name
- LAURA LEVINE
- Title
- DIR. HEALTHCARE CONTRACTING
- Phone
- (479) 277-1242
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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