Wal-Mart Stores East LP

NPI #1356706683 in Byram, Mississippi

Provider Information

NPI Number: 1356706683
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: Dec 31, 2015
Last Updated: Dec 31, 2015

Practice Location

Address: 131 HANDLEY BLVD
City: Byram
State: Mississippi
ZIP Code: 39272
Phone: (769) 237-4319

Authorized Official

Name: LAURA LEVINE
Title: DIRECTOR
Phone: (479) 204-8550

Specialties & Taxonomy Codes

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

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