Wal-Mart Stores East, LP

NPI #1144645508 in Augusta, Georgia

Provider Information

NPI Number
1144645508
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
Feb 21, 2014
Last Updated
Feb 21, 2014

Practice Location

Address
3338 WRIGHTSBORO RD
State
Georgia
ZIP Code
30909-2811
Phone
(706) 941-5328

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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