Organization
WAL-MART STORES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE GARVEY (MANAGING EMPLOYEE)
(479) 277-2611
Entity
Organization
Contact information
Practice address
207 S MEMORIAL DR, TULSA, OK 74112-2201
(918) 834-8700
(918) 834-2064
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-6299
(479) 371-1277
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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