| NPI | 1154755197 |
|---|---|
| Doing Business As | WAL-MART VISION CENTER 30-2607 |
| Entity Type | Organization |
| Authorized Contact | DEB LAUVER Specialist Plan Enrollment 479-258-2115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2013-08-27 |