Wal-Mart Stores East, LP

NPI #1407932734 in Columbia, Missouri

Provider Information

NPI Number
1407932734
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Eyewear Supplier
Enumeration Date
Oct 30, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
3001 W. BROADWAY
ZIP Code
65203
Phone
(573) 445-3582

Authorized Official

Name
TAMMY J BOYD
Title
CONTRACT COORDINATOR
Phone
(479) 277-1359

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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