Wal-Mart Stores, INC

NPI #1962592204 in St George, Utah

Provider Information

NPI Number
1962592204
Entity Type
Organization
Organization Name
Wal-Mart Stores, INC
Primary Specialty
Eyewear Supplier
Enumeration Date
Oct 16, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
2610 PIONEER RD
State
Utah
ZIP Code
84790-7442
Phone
(435) 674-0459

Authorized Official

Name
NICOLE D GENTILE
Title
NPI COORDINATOR
Phone
(316) 788-5580

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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