Wal-Mart Stores East LP

NPI #1093098253 in Springfield, Pennsylvania

Provider Information

NPI Number
1093098253
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
Sep 23, 2011
Last Updated
Sep 23, 2011

Practice Location

Address
400 S STATE RD
ZIP Code
19064-1243
Phone
(610) 605-3176

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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