Wal-Mart Stores East, LP

NPI #1154434090 in Tiffin, Ohio

Provider Information

NPI Number: 1154434090
Entity Type: Organization
Organization Name: Wal-Mart Stores East, LP
Primary Specialty: Eyewear Supplier
Enumeration Date: Aug 16, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 2801 WEST STATE ROUTE 18
City: Tiffin
State: Ohio
ZIP Code: 44883-8950
Phone: (419) 448-4402

Authorized Official

Name: TAMMY J BOYD
Title: CONTRACT COORDINATOR
Phone: (479) 277-1359

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist - Optician — Optician	156FX1800X
Eyewear Supplier	332H00000X	Primary

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