Wal-Mart Stores East , LP
NPI #1063992378 in Saint Johns, Florida
Provider Information
- NPI Number
- 1063992378
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East , LP
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Aug 16, 2018
- Last Updated
- Aug 16, 2018
Practice Location
- Address
- 845 DURBIN PAVILION DR
- City
- Saint Johns
- State
- Florida
- ZIP Code
- 32259-0000
- Phone
- (479) 277-9170
Authorized Official
- Name
- SARAH LITTLE
- Title
- DIRECTOR OF HEALTHCARE CONTRACTING
- Phone
- (479) 277-2500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
| Technician/Technologist - Optician — Optician |
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| MRS. Kelly Smith | AI Deep Dive |
| MR. Daniel G Acosta, L.D.O. | AI Deep Dive |
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