Wal-Mart Stores, INC
NPI #1821407909 in Monroe, Washington
Provider Information
- NPI Number
- 1821407909
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores, INC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Aug 4, 2014
- Last Updated
- Aug 4, 2014
Practice Location
- Address
- 19191 N KELSEY ST
- City
- Monroe
- State
- Washington
- ZIP Code
- 98272-1459
- Phone
- (360) 365-4036
Authorized Official
- Name
- DEB LAUVER
- Title
- SPECIALIST PLAN ENROLLMENT
- Phone
- (479) 258-2115
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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