Wal-Mart Stores East, LP

NPI #1508031378 in Camby, Indiana

Provider Information

NPI Number
1508031378
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Technician/Technologist - Optician
Enumeration Date
Apr 23, 2008
Last Updated
Apr 23, 2008

Practice Location

Address
8191 UPLAND WAY
City
Camby
State
Indiana
ZIP Code
46113
Phone
(317) 856-9609

Authorized Official

Name
DAVID J SIMMONS
Title
NPI ASSOCIATE
Phone
(479) 277-9373

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier
Technician/Technologist - OpticianOptician

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