Wal-Mart Stores East, LP

NPI #1194158956 in Putnam, Connecticut

Provider Information

NPI Number: 1194158956
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: Aug 15, 2013
Last Updated: Aug 15, 2013

Practice Location

Address: 625 SCHOOL ST
City: Putnam
State: Connecticut
ZIP Code: 06260-2424
Phone: (860) 928-3999

Authorized Official

Name: LAURA LEVINE
Title: MANAGER OF GOVERNMENT CONTRACTING
Phone: (479) 204-8550

Specialties & Taxonomy Codes

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

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