Wal-Mart Stores East, LP

NPI #1164877189 in Darlington, South Carolina

Provider Information

NPI Number
1164877189
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
Apr 27, 2016
Last Updated
Jan 3, 2017

Practice Location

Address
251 ANDOVER PLACE
ZIP Code
29532
Phone
(843) 393-6861

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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