Wal-Mart Stores East, LP

NPI #1316020050 in Jackson, Tennessee

Provider Information

NPI Number
1316020050
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Eyewear Supplier
Enumeration Date
Oct 24, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
2196 EMPORIUM DR
ZIP Code
38305-6004
Phone
(731) 664-1157

Authorized Official

Name
NICOLE D GENTILE
Title
NPI COORDINATOR
Phone
(316) 788-5580

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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