Wal-Mart Stores East, LP

NPI #1336230614 in Milton, Florida

Provider Information

NPI Number
1336230614
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Eyewear Supplier
Enumeration Date
Sep 28, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
4965 HIGHWAY 90
City
Milton
State
Florida
ZIP Code
32571-1408
Phone
(850) 995-0542

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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