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Organization
WALMART INC.
Active
Organization
WALMART INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF ENROLLMENT)
(479) 277-2500
Entity
Organization
Contact information
Practice address
3290 S SANTIAM HWY, LEBANON, OR 97355-3737
(541) 258-7400
Mailing address
702 SW 8TH ST., BENTONVILLE, AR 72716-0235
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/04/2006
Last updated
03/08/2018
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