Wal-Mart Stores East LP

NPI #1265776579 in Lecanto, Florida

Provider Information

NPI Number
1265776579
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
Nov 27, 2012
Last Updated
Nov 27, 2012

Practice Location

Address
1936 N. LECANTO HWY
State
Florida
ZIP Code
34461
Phone
(352) 228-6003

Authorized Official

Name
AMY POWERS
Title
SPECIALIST, PLAN ENROLLMENT
Phone
(479) 204-0709

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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