Wal-Mart Stores East, LP

NPI #1396858189 in Morgantown, West Virginia

Provider Information

NPI Number: 1396858189
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: Aug 16, 2006
Last Updated: Jun 10, 2016

Practice Location

Address: 75 RETAIL CIR
City: Morgantown
State: West Virginia
ZIP Code: 26508-1646
Phone: (304) 292-9887

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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