Wal-Mart Stores East, LP

NPI #1174933741 in Wesley Chapel, Florida

Provider Information

NPI Number
1174933741
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
May 5, 2014
Last Updated
May 5, 2014

Practice Location

Address
28500 STATE ROAD 54
State
Florida
ZIP Code
33543
Phone
(479) 277-2500

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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