Wal-Mart Store East LP

NPI #1437280799 in Chilton, Wisconsin

Provider Information

NPI Number
1437280799
Entity Type
Organization
Organization Name
Wal-Mart Store East LP
Subpart
Yes (part of a larger organization)
Parent Organization
WAL-MART STORES INC
Primary Specialty
Eyewear Supplier
Enumeration Date
Mar 8, 2007
Last Updated
Jul 25, 2011

Practice Location

Address
810 SOUTH IRISH ROAD
ZIP Code
53014
Phone
(920) 849-8467

Authorized Official

Name
DIANNA J. PAINTER
Title
ENROLLMENT SPECIALIST
Phone
(479) 277-1238

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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