Wal-Mart Stores East, LP
NPI #1073695623 in Groton, Connecticut
Provider Information
- NPI Number
- 1073695623
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East, LP
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Oct 20, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 150 GOLD STAR HWY
- City
- Groton
- State
- Connecticut
- ZIP Code
- 06340-3442
- Phone
- (860) 448-2022
Authorized Official
- Name
- TAMMY J BOYD
- Title
- CONTRACT COORDINATOR
- Phone
- (479) 277-1359
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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