Wal-Mart Stores INC

NPI #1912215534 in Pullman, Washington

Provider Information

NPI Number
1912215534
Entity Type
Organization
Organization Name
Wal-Mart Stores INC
Primary Specialty
Eyewear Supplier
Enumeration Date
Sep 16, 2010
Last Updated
Sep 16, 2010

Practice Location

Address
695 SE BISHOP BLVD
ZIP Code
83843
Phone
(208) 883-8828

Authorized Official

Name
DIANNA PAINTER
Title
ENROLLMENT SPECIALIST
Phone
(479) 277-1238

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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