Wal-Mart Stores East, LP

NPI #1477938025 in Hartford, Wisconsin

Provider Information

NPI Number
1477938025
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
Jul 24, 2015
Last Updated
Sep 11, 2015

Practice Location

Address
1220 THEIL ST
ZIP Code
53027-1448
Phone
(262) 223-6014

Authorized Official

Name
DEB LAUVER
Title
SPECIALIST PLAN ENROLLMENT
Phone
(479) 258-2115

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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