Wal-Mart Stores East, LP

NPI #1013396191 in Florissant, Missouri

Provider Information

NPI Number: 1013396191
Entity Type: Organization
Organization Name: Wal-Mart Stores East, LP
Subpart: Yes (part of a larger organization)
Parent Organization: WAL-MART STORES, INC
Primary Specialty: Eyewear Supplier
Enumeration Date: May 22, 2015
Last Updated: Sep 22, 2016

Practice Location

Address: 3390 N HIGHWAY 67
City: Florissant
State: Missouri
ZIP Code: 63033-1605
Phone: (314) 824-0022

Authorized Official

Name: LAURA LEVINE
Title: DIRECTOR
Phone: (479) 204-8550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist - Optician — Optician	156FX1800X
Eyewear Supplier	332H00000X	Primary

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