Wal-Mart Stores East, LP
NPI #1063964138 in King, North Carolina
Provider Information
- NPI Number
- 1063964138
- 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
- Oct 25, 2016
- Last Updated
- Oct 25, 2016
Practice Location
- Address
- 204 INGRAM DR
- City
- King
- State
- North Carolina
- ZIP Code
- 27021-8206
- Phone
- (336) 296-6035
Authorized Official
- Name
- LAURA LEVINE
- Title
- DIR HEALTHCARE CONTRACT & ENROLL
- Phone
- (479) 204-8550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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