Wal-Mart Stores East LP

NPI #1245520055 in Saukville, Wisconsin

Provider Information

NPI Number
1245520055
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
Apr 13, 2011
Last Updated
Apr 13, 2011

Practice Location

Address
825 E GREEN BAY AVE
ZIP Code
53080
Phone
(262) 284-9616

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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