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Wal-mart Stores, Inc
Eyewear Supplier in Ponderay, Idaho
NPI 1114017357

Wal-mart Stores, Inc is a Eyewear Supplier based in Bentonville, ID. Wal-mart Stores, Inc practices in Ponderay, ID. The NPI Number for Wal-mart Stores, Inc is 1114017357 and holds a License No. (Idaho).

The current practice location address for Wal-mart Stores, Inc is 476999 Highway 95, Ponderay, ID and can be reached out via phone at 208-265-8332.

Location: 476999 Highway 95, Ponderay, ID, 72716-0235
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114017357
Provider Name
Wal-mart Stores, Inc
Credential
Provider Entity Type
Organization
Address
476999 Highway 95, Ponderay, ID, 72716-0235
Phone Number
208-265-8332
Fax Number
Provider Enumeration Date
10/16/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
476999 Highway 95
City
Ponderay
State
Idaho
Zip
83852-9738
Phone Number
208-265-8332
Fax Number
person
Provider Business Mailing Address Details
Address
476999 Highway 95
City
Ponderay
State
Idaho
Zip
83852-9738
Phone Number
208-265-8332
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
()
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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