Wal-Mart Stores East, LP
NPI #1023191723 in Grenada, Mississippi
Provider Information
- NPI Number
- 1023191723
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East, LP
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Oct 24, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 1655 SUNSET DR
- City
- Grenada
- State
- Mississippi
- ZIP Code
- 38901-4061
- Phone
- (662) 229-0114
Authorized Official
- Name
- LINDA M. EPPERSON
- Title
- NPI COORDINATOR
- Phone
- (316) 788-5580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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