Organization Name: | WAL-MART STORES, INC. |
NPI Number: | 1043637770 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAURA LEVIN (DIRECTOR, HEALTHCARE CONTRACTING) |
Mailing Address: | 1201 Sw 13th Ave Battle Ground |
State: | WA US |
Postal Code: | 986042800 |
Phone Number: | 3607239010 |
Fax Number: | |
NPI Enumeration Date: | 03/19/2014 |
NPI Last Update Date: | 03/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |