Wal-Mart Stores East LP

NPI #1356685663 in West Brownsville, Pennsylvania

Provider Information

NPI Number: 1356685663
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: Nov 27, 2012
Last Updated: Nov 27, 2012

Practice Location

Address: 134 DANIEL KENDALL DR.
City: West Brownsville
State: Pennsylvania
ZIP Code: 15417
Phone: (724) 785-3204

Authorized Official

Name: AMY POWERS
Title: SPECIALIST, PLAN ENROLLMENT
Phone: (479) 204-0709

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist - Optician — Optician	156FX1800X
Eyewear Supplier	332H00000X	Primary

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