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Wal-mart Stores, Inc
Eyewear Supplier in Du Quoin, Illinois
NPI 1164503272

Wal-mart Stores, Inc is a Eyewear Supplier based in Bentonville, IL. Wal-mart Stores, Inc practices in Du Quoin, IL. The NPI Number for Wal-mart Stores, Inc is 1164503272 and holds a License No. (Illinois).

The current practice location address for Wal-mart Stores, Inc is 215 E Grantway St, Du Quoin, IL and can be reached out via phone at 618-542-8438.

Location: 215 E Grantway St, Du Quoin, IL, 72716-0235
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164503272
Provider Name
Wal-mart Stores, Inc
Credential
Provider Entity Type
Organization
Address
215 E Grantway St, Du Quoin, IL, 72716-0235
Phone Number
618-542-8438
Fax Number
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
215 E Grantway St
City
Du Quoin
State
Illinois
Zip
62832-1923
Phone Number
618-542-8438
Fax Number
person
Provider Business Mailing Address Details
Address
215 E Grantway St
City
Du Quoin
State
Illinois
Zip
62832-1923
Phone Number
618-542-8438
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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