Wal-Mart Stores East, LP
NPI #1326419946 in High Ridge, Missouri
Provider Information
- NPI Number
- 1326419946
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East, LP
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Oct 8, 2015
- Last Updated
- Oct 8, 2015
Practice Location
- Address
- 2700 RIDGE POINT DR
- City
- High Ridge
- State
- Missouri
- ZIP Code
- 63049-2201
- Phone
- (636) 253-5021
Authorized Official
- Name
- LAURA LEVINE
- Title
- DIR HEALTHCARE AND ENROLLMENT
- Phone
- (479) 204-8550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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