Walmart, INC.
Technician/Technologist, Optician in Santa Maria, CA. Organization (NPI-2).
NPI number1902673981
StatusActive
Last updated in NPPESDec 8, 2023
Details
- NPI
- 1902673981
- Entity type
- Organization (NPI-2)
- Legal business name
- Walmart, INC.
- Organization subpart
- No
- Enumeration date
- Dec 8, 2023
- Certification date
- Dec 8, 2023
- Last updated
- Dec 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | – | – | Yes |
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – |
Other names
- Walmart Pharmacy 10-3164 (Doing Business As)
Practice location
2220 S Bradley RdSanta Maria, CA 93455-1348
Phone 805-928-9560 · Fax 805-922-4137
Mailing address
702 Sw 8th StBentonville, AR 72716-0445
Phone 479-258-2115 · Fax 479-277-4331
Authorized official
Michele Garvey
Director Of Health Care Contracting
4792772611
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