Wal-Mart Stores East, LP

NPI #1134201015 in Humboldt, Tennessee

Provider Information

NPI Number
1134201015
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Eyewear Supplier
Enumeration Date
Oct 19, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
2716 N CENTRAL AVE
ZIP Code
38343-1560
Phone
(731) 784-0025

Authorized Official

Name
NICOLE D GENTILE
Title
NPI COORDINATOR
Phone
(316) 788-5580

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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