Wal-Mart Stores East, LP
NPI #1174949275 in Blue Ridge, Georgia
Provider Information
- NPI Number
- 1174949275
- 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
- Mar 13, 2014
- Last Updated
- Mar 13, 2014
Practice Location
- Address
- 97 COMMERCE DR
- City
- Blue Ridge
- State
- Georgia
- ZIP Code
- 30097
- Phone
- (479) 277-2500
Authorized Official
- Name
- LAURA LEVINE
- Title
- DIR HEALTHCARE CONTRACTING & ENROLL
- Phone
- (479) 204-8550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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