Organization Name: | WAL-MART STORES, INC. DBA WAL-MART |
NPI Number: | 1124150578 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SABRINA N SUTTON (NPI ASSOCIATE) |
Mailing Address: | 3205 Stower St Miles City |
State: | MT US |
Postal Code: | 593015785 |
Phone Number: | 4062320022 |
Fax Number: | |
NPI Enumeration Date: | 03/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |