Wal-Mart Stores East, LP
NPI #1447425202 in Gainsville, Florida
Provider Information
- NPI Number
- 1447425202
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East, LP
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Apr 23, 2008
- Last Updated
- Apr 23, 2008
Practice Location
- Address
- 1800 NE 12TH AVE
- City
- Gainsville
- State
- Florida
- ZIP Code
- 32641
- Phone
- (479) 277-9373
Authorized Official
- Name
- DAVID J SIMMONS
- Title
- NPI ASSOCIATE
- Phone
- (479) 277-9373
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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