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Contact Information

WAL-MART STORES, INC
1205 S ROUTE 31
CRYSTAL LAKE, IL60014
 Phone: 815-477-4053
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for WAL MART STORES INC · (Female)

NPI Number 1326229253
Status Active
Credentials
Entity Individual
Enumeration date 11/20/2007
Last updated 11/20/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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