Wal-Mart Stores, INC

NPI #1871961185 in Montevideo, Minnesota

Provider Information

NPI Number: 1871961185
Entity Type: Organization
Organization Name: Wal-Mart Stores, INC
Primary Specialty: Eyewear Supplier
Enumeration Date: Sep 3, 2015
Last Updated: Oct 6, 2015

Practice Location

Address: 3001 E HIGHWAY 7
City: Montevideo
State: Minnesota
ZIP Code: 56265-4556
Phone: (320) 269-2274

Authorized Official

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

Specialties & Taxonomy Codes

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

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