Wal-Mart Stores East, LP

NPI #1356711832 in Irmo, South Carolina

Provider Information

NPI Number: 1356711832
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: Sep 28, 2015
Last Updated: Sep 28, 2015

Practice Location

Address: 1180 DUTCH FORK RD
City: Irmo
State: South Carolina
ZIP Code: 29063-8874
Phone: (803) 781-7877

Authorized Official

Name: LAURA LEVINE
Title: DIR HEALTHCARE CONTRACT & ENROLL
Phone: (479) 204-8550

Specialties & Taxonomy Codes

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

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