Wal-Mart Stores East, LP
NPI #1104361500 in Stoughton, Wisconsin
Provider Information
- NPI Number
- 1104361500
- 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
- Dec 21, 2016
- Last Updated
- Dec 21, 2016
Practice Location
Authorized Official
- Name
- DEB LAUVER
- Title
- SPECIALIST PLAN ENROLLMENT
- Phone
- (479) 258-2115
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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