Wal-Mart Stores, Inc.

NPI #1972941557 in Meridian, Idaho

Provider Information

NPI Number
1972941557
Entity Type
Organization
Organization Name
Wal-Mart Stores, Inc.
Primary Specialty
Eyewear Supplier
Enumeration Date
Jun 5, 2013
Last Updated
Jun 5, 2013

Practice Location

Address
795 W OVERLAND RD
State
Idaho
ZIP Code
83642
Phone
(208) 917-6905

Authorized Official

Name
DEB LAUVER
Title
SPECIALIST PLAN ENROLLMENT
Phone
(479) 204-8741

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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