Wal-Mart Stores, INC

NPI #1821467358 in Albany, Oregon

Provider Information

NPI Number: 1821467358
Entity Type: Organization
Organization Name: Wal-Mart Stores, INC
Primary Specialty: Eyewear Supplier
Enumeration Date: Sep 15, 2015
Last Updated: Nov 2, 2015

Practice Location

Address: 1330 GOLDFISH FARM RD SE
City: Albany
State: Oregon
ZIP Code: 97322-5154
Phone: (541) 971-4087

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist - Optician — Optician	156FX1800X
Eyewear Supplier	332H00000X	Primary

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