NPI 1255718953
Wal-Mart Srores INC
Practice location
- Address
- 580 Livingston Ave, Cheyenne, WY 82007
- Phone
- (307) 823-6815
- Mailing address
- 702 SW 8th St, Bentonville, AR 72716-0445
Authorised official
- Name
- Deb Lauver
- Title
- Specialist Plan Enrollment
- Phone
- (479) 258-2115
Registered specialties (2)
Eyewear Supplier
Primary
Registry record
- NPI
- 1255718953
- Entity type
- Organization
- NPI issued
- 1 May 2015
- Record last updated
- 1 May 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.