Wal-Mart Stores East, LP

NPI #1487029922 in Hudson, Florida

Provider Information

NPI Number
1487029922
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
Dec 9, 2015
Last Updated
Dec 9, 2015

Practice Location

Address
12610 US HIGHWAY 19
City
Hudson
State
Florida
ZIP Code
34667-1954
Phone
(727) 378-0469

Authorized Official

Name
LAURA LEVINE
Title
DIR HEALTHCARE CONTRACT & ENROLL
Phone
(479) 204-8550

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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