Wal-Mart Stores East, LP

NPI #1154406734 in Corbin, Kentucky

Provider Information

NPI Number
1154406734
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Eyewear Supplier
Enumeration Date
Oct 25, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
60 S STEWART RD
City
Corbin
ZIP Code
40701-4675
Phone
(606) 523-1770

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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