Wal-Mart Stores East LP
NPI #1215245816 in Logansport, Indiana
Provider Information
- NPI Number
- 1215245816
- 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
- Sep 16, 2010
- Last Updated
- Sep 16, 2010
Practice Location
- Address
- 240 MALL ROAD
- City
- Logansport
- State
- Indiana
- ZIP Code
- 46947
- Phone
- (574) 732-0221
Authorized Official
- Name
- DIANNA PAINTER
- Title
- ENROLLMENT SPECIALIST
- Phone
- (479) 277-1238
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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