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Wal-mart Stores, Inc.
Eyewear Supplier in Centralia, Illinois
NPI 1477908770

Wal-mart Stores, Inc. is a Eyewear Supplier based in Bentonville, IL. Wal-mart Stores, Inc. practices in Centralia, IL. The NPI Number for Wal-mart Stores, Inc. is 1477908770 and holds a License No. (Illinois).

The current practice location address for Wal-mart Stores, Inc. is 1212 W Mccord St, Centralia, IL and can be reached out via phone at 479-204-8705.

Location: 1212 W Mccord St, Centralia, IL, 72716-0445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477908770
Provider Name
Wal-mart Stores, Inc.
Credential
Provider Entity Type
Organization
Address
1212 W Mccord St, Centralia, IL, 72716-0445
Phone Number
479-204-8705
Fax Number
Provider Enumeration Date
04/25/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1212 W Mccord St
City
Centralia
State
Illinois
Zip
62801-5648
Phone Number
479-204-8705
Fax Number
person
Provider Business Mailing Address Details
Address
1212 W Mccord St
City
Centralia
State
Illinois
Zip
62801-5648
Phone Number
479-204-8705
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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