Wal-Mart Stores East, LP

NPI #1457742173 in Shepherdsville, Kentucky

Provider Information

NPI Number
1457742173
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
Feb 17, 2015
Last Updated
Feb 17, 2015

Practice Location

Address
545 CONESTOGA PKWY
ZIP Code
40165-6666
Phone
(502) 281-5006

Authorized Official

Name
LAURA LEVINE
Title
DIRECTOR OF HEALTHCARE CONTRACTING
Phone
(479) 204-8550

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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