Wal-Mart Stores East, LP

NPI #1497126023 in Cullman, Alabama

Provider Information

NPI Number
1497126023
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
Oct 8, 2015
Last Updated
Oct 8, 2015

Practice Location

Address
5601 AL HIGHWAY 157
State
Alabama
ZIP Code
35058-5913
Phone
(256) 615-6666

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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