Wal-Mart Stores, Inc.
NPI #1962590471 in Rialto, California
Provider Information
- NPI Number
- 1962590471
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores, Inc.
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Oct 10, 2006
- Last Updated
- Apr 21, 2017
Practice Location
- Address
- 1366 S RIVERSIDE AVE
- City
- Rialto
- State
- California
- ZIP Code
- 92376-7608
- Phone
- (909) 820-4514
Authorized Official
- Name
- SARAH LITTLE
- Title
- DIR. HEALTHCARE CONTRACTING & ENROL
- Phone
- (479) 277-2500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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