Wal-Mart Stores, INC

NPI #1841666963 in Montgomery, Illinois

Provider Information

NPI Number
1841666963
Entity Type
Organization
Organization Name
Wal-Mart Stores, INC
Primary Specialty
Eyewear Supplier
Enumeration Date
Aug 12, 2015
Last Updated
Aug 12, 2015

Practice Location

Address
2000 ORCHARD RD
ZIP Code
60538-1028
Phone
(479) 204-8550

Authorized Official

Name
LAURA LEVINE
Title
DIRECTOR
Phone
(479) 204-8550

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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