Wal-Mart Stores, Inc.
NPI #1942671359 in Othello, Washington
Provider Information
- NPI Number
- 1942671359
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores, Inc.
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Oct 12, 2015
- Last Updated
- Oct 12, 2015
Practice Location
- Address
- 1860 E MAIN ST
- City
- Othello
- State
- Washington
- ZIP Code
- 99344-1578
- Phone
- (479) 258-2115
Authorized Official
- Name
- DEB LAUVER
- Title
- SPECIALIST PLAN ENROLLMENT
- Phone
- (479) 258-2115
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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