Wal-Mart Stores, INC
NPI #1841631090 in Yucca Valley, California
Provider Information
- NPI Number
- 1841631090
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores, INC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Jul 16, 2013
- Last Updated
- Jul 16, 2013
Practice Location
- Address
- 58501 29 PALMS HWY
- City
- Yucca Valley
- State
- California
- ZIP Code
- 92284-5765
- Phone
- (760) 365-7750
Authorized Official
- Name
- DEB LAUVER
- Title
- SPECIALIST PLAN ENROLLMENT
- Phone
- (479) 204-8741
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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