Wal-Mart Stores East, LP

NPI #1477666238 in Keyser, West Virginia

Provider Information

NPI Number
1477666238
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Eyewear Supplier
Enumeration Date
Aug 16, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
RR 4 BOX 82
City
Keyser
ZIP Code
26726-9406
Phone
(304) 788-8160

Authorized Official

Name
TAMMY J BOYD
Title
CONTRACT COORDINATOR
Phone
(479) 277-1359

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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