Wal-Mart Stores East, LP

NPI #1205917226 in Boaz, Alabama

Provider Information

NPI Number
1205917226
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Eyewear Supplier
Enumeration Date
Oct 17, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
1972 US HIGHWAY 431
City
Boaz
State
Alabama
ZIP Code
35957-5901
Phone
(256) 593-0195

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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