Wal-Mart Stores East, LP

NPI #1477634277 in De Soto, Missouri

Provider Information

NPI Number
1477634277
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Eyewear Supplier
Enumeration Date
Oct 18, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
12862 STATE ROAD 21
ZIP Code
63020
Phone
(636) 586-6878

Authorized Official

Name
NICOLE D GENTILE
Title
NPI COORDINATOR
Phone
(316) 788-5580

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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