Organization
WAL-MART STORES INC
Active
Parent organization
WAL-MART STORES INC
Other names
Wal-Mart Pharmacy 30-5644
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES INC
Authorized official
AMY POWERS (SPECIALIST, PLAN ENROLLMENT)
(479) 204-0709
Entity
Organization
Contact information
Practice address
16555 VON KARMAN AVE, IRVINE, CA 92606-4928
(949) 623-7470
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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