Wal-Mart Stores East, LP

NPI #1215013412 in Brewer, Maine

Provider Information

NPI Number
1215013412
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Eyewear Supplier
Enumeration Date
Oct 31, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
24 WALTON DR
City
Brewer
State
Maine
ZIP Code
04412-1001
Phone
(207) 989-5068

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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