Wal-Mart Stores East, LP

NPI #1104373406 in Cameron, North Carolina

Provider Information

NPI Number
1104373406
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 2, 2016
Last Updated
Oct 6, 2016

Practice Location

Address
2800 NC HIGHWAY 24-87
ZIP Code
28326
Phone
(910) 364-0361

Authorized Official

Name
LAURA LEVINE
Title
DIRECTOR HEALTHCARE CONTRACTING
Phone
(479) 204-8550

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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