Organization
WAL-MART STORES, INC
Active
Other names
Wal-Mart Vision Center 30-2607
Organization subpart
No
Provider details
NPI number
Authorized official
DEB LAUVER (SPECIALIST PLAN ENROLLMENT)
(479) 258-2115
Entity
Organization
Contact information
Practice address
36318 MEMORY LANE, POLSON, MT 59860
(479) 273-4885
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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