Wal-Mart Stores East, LP

NPI #1043685597 in Alpharetta, Georgia

Provider Information

NPI Number: 1043685597
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: Dec 9, 2015
Last Updated: Dec 9, 2015

Practice Location

Address: 5455 ATLANTA HWY
City: Alpharetta
State: Georgia
ZIP Code: 30004-2928
Phone: (678) 259-8222

Authorized Official

Name: LAURA LEVINE
Title: DIR HEALTHCARE CONTRACT&ENROLL
Phone: (479) 204-8550

Specialties & Taxonomy Codes

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

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