Wal-Mart Stores East LP

NPI #1528341898 in Santa Fe, New Mexico

Provider Information

NPI Number
1528341898
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
Sep 23, 2011
Last Updated
Sep 23, 2011

Practice Location

Address
5701 HERRERA DR
ZIP Code
87507
Phone
(505) 424-1189

Authorized Official

Name
DIANNA PAINTER
Title
ENROLLMENT SPECIALIST
Phone
(479) 277-1238

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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