Wal-Mart Stores East, LP

NPI #1215106273 in Dearborn, Michigan

Provider Information

NPI Number
1215106273
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Technician/Technologist - Optician
Enumeration Date
Feb 25, 2008
Last Updated
Feb 25, 2008

Practice Location

Address
5851 MERCURY DR
ZIP Code
48126-4161
Phone
(313) 271-4296

Authorized Official

Name
DAVID J SIMMONS
Title
NPI ASSOCIATE
Phone
(479) 277-9373

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier
Technician/Technologist - OpticianOptician

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