Wal-Mart Stores East LP

NPI #1043583784 in Denham Springs, Louisiana

Provider Information

NPI Number
1043583784
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
Feb 10, 2012
Last Updated
Feb 10, 2012

Practice Location

Address
34025 LA HWY 16
ZIP Code
70706
Phone
(225) 667-6780

Authorized Official

Name
DIANNA PAINTER
Title
ENROLLMENT SPECIALIST
Phone
(479) 277-1238

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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