Wal-Mart Stores, Inc.

NPI #1831567353 in Meridian, Idaho

Provider Information

NPI Number
1831567353
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
5001 N TEN MILE RD
State
Idaho
ZIP Code
83646-6515
Phone
(208) 982-3050

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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