Wal-Mart Stores East, LP

NPI #1407200280 in Hanson, Kentucky

Provider Information

NPI Number
1407200280
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
Apr 19, 2016
Last Updated
Apr 19, 2016

Practice Location

Address
420 FACTORY OUTLET DR
City
Hanson
ZIP Code
42413-9514
Phone
(270) 821-7177

Authorized Official

Name
LAURA LEVINE
Title
DIR. HEALTHCARE CONTRACTING
Phone
(479) 277-1242

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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