DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: WAL-MART STORES, INC

MEDICARE: WAL-MART STORES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1156FX1800XOptician
2332H00000XEyewear Supplier

General Provider Information

NPI Number : 1558454413
Entity Type Code : Organization
Provider Name (Legal Business Name) : WAL-MART STORES, INC
Provider Business Mailing Address
First Line : 702 SW 8TH ST.
Second Line :
City : BENTONVILLE
State : AR
Zip : 72716-0235
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 625 W TELEGRAPH ST
Second Line :
City : WASHINGTON
State : UT
Zip : 84780-1541
Country : US
Telephone Number : 435-628-2802
Fax Number :
Authorized Official
Title or Position : NPI COORDINATOR
Name : NICOLE D GENTILE
Credential :
Telephone Number : 316-788-5580
Provider Enumeration Date : 10/02/2006
Last Update Date : 09/11/2025

Similar Medicare Providers

1750351979 — JEFFERY J THATCHER OD
Practice Location Address:
625 W TELEGRAPH ST
WASHINGTON, UT
84780-1541
Practice Phone: 435-986-3770
Practice Fax: 435-986-3772
1780601971 — WALMART INC.
Practice Location Address:
625 W TELEGRAPH ST
WASHINGTON, UT
84780-1541
Practice Phone: 435-628-5424
Practice Fax:
1740587625 — RED CLIFFS EYE CARE, INC.
Practice Location Address:
625 W TELEGRAPH ST
WASHINGTON, UT
84780-1541
Practice Phone: 435-986-3770
Practice Fax: 435-986-3772
1235791971 — ROBERT JARECKI PHARMACIST
Practice Location Address:
625 W TELEGRAPH ST
WASHINGTON, UT
84780-1541
Practice Phone: 435-628-2824
Practice Fax:
1770183576 — CALE BATT
Practice Location Address:
625 W TELEGRAPH ST
WASHINGTON, UT
84780-1541
Practice Phone: 435-628-5424
Practice Fax: 435-656-1180
1720688328 — DR. KRISTIN PORTER PHARM.D.
Practice Location Address:
625 W TELEGRAPH ST
WASHINGTON, UT
84780-1541
Practice Phone: 435-628-5424
Practice Fax:

Directions to “WAL-MART STORES, INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.