Wal-Mart Stores East, LP
NPI #1063742690 in North Bergen, New Jersey
Provider Information
- NPI Number
- 1063742690
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East, LP
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Jan 4, 2010
- Last Updated
- Jan 4, 2010
Practice Location
- Address
- 2100 88TH STREET
- City
- North Bergen
- State
- New Jersey
- ZIP Code
- 07047
- Phone
- (201) 758-2810
Authorized Official
- Name
- HOLLY C WILKINSON
- Title
- CARRIER SPECIALIST
- Phone
- (479) 204-8320
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
| Technician/Technologist - Optician — Optician |
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