Organization
WAL-MART STORES, INC
Active
Other names
Vision Center 30-2259
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY C WILKINSON (COMMERCIAL CONTRACTING SPECIALIST)
(479) 204-8320
Entity
Organization
Contact information
Practice address
170 HUTTON RD, KALISPELL, MT 59901
(406) 756-7250
Mailing address
702 SW 8TH ST., BENTONVILLE, AR 72716-0235
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
10/13/2006
Last updated
05/10/2010
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