Wal-Mart Stores East, LP
NPI #1528140977 in Orange Park, Florida
Provider Information
- NPI Number
- 1528140977
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East, LP
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Oct 19, 2006
- Last Updated
- Feb 27, 2008
Practice Location
- Address
- 899 BLANDING BLVD
- City
- Orange Park
- State
- Florida
- ZIP Code
- 32065
- Phone
- (904) 276-1882
Authorized Official
- Name
- DAVID J SIMMONS
- Title
- NPI ASSOCIATE
- Phone
- (479) 277-9373
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
| Technician/Technologist - Optician — Optician |
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