Wal-Mart Stores East LP

NPI #1144539446 in Taylor, Pennsylvania

Provider Information

NPI Number
1144539446
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
Oct 4, 2010
Last Updated
Oct 4, 2010

Practice Location

Address
1325 MAIN STREET
City
Taylor
ZIP Code
18517
Phone
(570) 309-3514

Authorized Official

Name
DIANNA PAINTER
Title
ENROLLMENT SPECIALIST
Phone
(479) 277-1238

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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