Wal-Mart Store East, LP

NPI #1366531972 in Dunnellon, Florida

Provider Information

NPI Number: 1366531972
Entity Type: Organization
Organization Name: Wal-Mart Store East, LP
Primary Specialty: Eyewear Supplier
Enumeration Date: Oct 12, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 11012 N WILLIAMS ST
City: Dunnellon
State: Florida
ZIP Code: 34432-8319
Phone: (352) 489-4210

Authorized Official

Name: NICOLE D GENTILE
Title: NPI COORDINATOR
Phone: (316) 788-5580

Specialties & Taxonomy Codes

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

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