Organization Name: | WALMART STORES, INC. |
NPI Number: | 1225234461 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SABRINA N SUTTON (NPI ASSOCIATE) |
Mailing Address: | 1060 South Watson 623 474 6728 Buckeye |
State: | AZ US |
Postal Code: | 85326 |
Phone Number: | 6234746728 |
Fax Number: | |
NPI Enumeration Date: | 06/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |