Wal-Mart Stores East, Lp.
NPI #1417724410 in Charles Town, West Virginia
Provider Information
- NPI Number
- 1417724410
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East, Lp.
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Dec 8, 2023
- Last Updated
- Dec 8, 2023
Practice Location
- Address
- 96 PATRICK HENRY WAY
- City
- Charles Town
- State
- West Virginia
- ZIP Code
- 25414-4391
- Phone
- (304) 728-4463
Authorized Official
- Name
- MICHELE GARVEY
- Title
- DIRECTOR OF HEALTH CARE CONTRACTING
- Phone
- (479) 277-2611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
| Technician/Technologist - Optician — Optician |
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