Sam's East, Inc.

NPI #1336590611 in Wake Forest, North Carolina

Provider Information

NPI Number
1336590611
Entity Type
Organization
Organization Name
Sam's East, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
WAL-MART STORES, INC.
Primary Specialty
Eyewear Supplier
Enumeration Date
Jun 28, 2016
Last Updated
Jul 13, 2016

Practice Location

Address
11460 ROYALL COTTON ROAD
ZIP Code
27587-0000
Phone
(919) 263-6120

Authorized Official

Name
LAURA LEVINE
Title
DIRECTOR, HEALTHCARE CONTRACTING
Phone
(479) 258-6180

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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