Wal-Mart Stores East, LP

NPI #1073695995 in Jackson, Tennessee

Provider Information

NPI Number
1073695995
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Eyewear Supplier
Enumeration Date
Oct 19, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
2171 S HIGHLAND AVE
ZIP Code
38301-7739
Phone
(731) 422-1614

Authorized Official

Name
NICOLE D GENTILE
Title
NPI COORDINATOR
Phone
(316) 788-5580

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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