Wal-Mart Stores East, LP

NPI #1114392651 in Murrells Inlet, South Carolina

Provider Information

NPI Number
1114392651
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 9, 2015
Last Updated
Dec 9, 2015

Practice Location

Address
545 GARDEN CITY CONNECTOR
ZIP Code
29576-7847
Phone
(843) 357-0382

Authorized Official

Name
LAURA LEVINE
Title
DIR HEALTHCARE CONTRACT & ENROLL
Phone
(479) 204-8550

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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