Wal-Mart Stores East, LP

NPI #1275632580 in Buford, Georgia

Provider Information

NPI Number
1275632580
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Eyewear Supplier
Enumeration Date
Sep 22, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
3250 SARDIS CHURCH RD
City
Buford
State
Georgia
ZIP Code
30519
Phone
(678) 546-6114

Authorized Official

Name
TAMMY J BOYD
Title
CONTRACT COORDINATOR
Phone
(479) 277-1359

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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