Wal-Mart Stores East LP

NPI #1063707057 in Marinette, Wisconsin

Provider Information

NPI Number: 1063707057
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: Jun 17, 2011
Last Updated: Jun 17, 2011

Practice Location

Address: 2900 ROOSEVELT RD
City: Marinette
State: Wisconsin
ZIP Code: 54143
Phone: (715) 735-5117

Authorized Official

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

Specialties & Taxonomy Codes

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

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