Wal-Mart Stores East LP

NPI #1073699831 in Clarion, Pennsylvania

Provider Information

NPI Number: 1073699831
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 27, 2006
Last Updated: Aug 1, 2011

Practice Location

Address: 63 PERKINS RD
City: Clarion
State: Pennsylvania
ZIP Code: 16214
Phone: (814) 226-0909

Authorized Official

Name: DIANNA D PAINTER
Title: ENROLLMENT SPECIALIST
Phone: (479) 277-1238

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist - Optician — Optician	156FX1800X
Eyewear Supplier	332H00000X	Primary

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