Wal-Mart Stores East, LP
NPI #1093984049 in Tega Cay, South Carolina
Provider Information
- NPI Number
- 1093984049
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East, LP
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Feb 25, 2008
- Last Updated
- Feb 25, 2008
Practice Location
- Address
- 1151 STONE CREST BLVD
- City
- Tega Cay
- State
- South Carolina
- ZIP Code
- 29708
- Phone
- (803) 578-4135
Authorized Official
- Name
- DAVID J SIMMONS
- Title
- NPI ASSOCIATE
- Phone
- (479) 277-9373
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
| Technician/Technologist - Optician — Optician |
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