Wal-Mart Stores East LP

NPI #1053661447 in Randallstown, Maryland

Provider Information

NPI Number
1053661447
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
Sep 13, 2012
Last Updated
Sep 13, 2012

Practice Location

Address
8730 LIBERTY RD
ZIP Code
21133-4710
Phone
(443) 576-3076

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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