Wal-Mart Stores East LP

NPI #1316210057 in Berlin, Maryland

Provider Information

NPI Number
1316210057
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
Feb 10, 2012
Last Updated
Feb 10, 2012

Practice Location

Address
11416 OCEAN GTWY
City
Berlin
ZIP Code
21811-2549
Phone
(410) 629-0502

Authorized Official

Name
LISA FROMM
Title
ENROLLMENT SPECIALIST
Phone
(479) 204-8550

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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