Wal-Mart Stores East, LP

NPI #1164510780 in Auburn, Maine

Provider Information

NPI Number
1164510780
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Eyewear Supplier
Enumeration Date
Oct 10, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
100 MOUNT AUBURN AVE
City
Auburn
State
Maine
ZIP Code
04210-8565
Phone
(207) 784-0738

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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