Wal-Mart Stores East LP

NPI #1215242409 in Lynchburg, Virginia

Provider Information

NPI Number
1215242409
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 11, 2010
Last Updated
Aug 11, 2010

Practice Location

Address
3227 OLD FOREST RD
ZIP Code
24501
Phone
(434) 200-9107

Authorized Official

Name
DIANNA PAINTER
Title
ENROLLMENT SPECIALIST
Phone
(479) 277-1238

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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