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Organization

WAL-MART STORES, INC

Active
Other names
Wal-Mart Pharmacy 30-3801
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA LEVINE (MANAGER)
(479) 204-8550
Entity
Organization

Contact information

Practice address
8713 64TH ST NE, MARYSVILLE, WA 98270-7704
(360) 386-3011
(360) 658-9488
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
08/13/2013
Last updated
08/28/2013
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