Wal-Mart Stores East, LP

NPI #1538259114 in Bremen, Georgia

Provider Information

NPI Number
1538259114
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Eyewear Supplier
Enumeration Date
Oct 13, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
404 U S HIGHWAY 27 BYP
City
Bremen
State
Georgia
ZIP Code
30110-1950
Phone
(770) 537-5531

Authorized Official

Name
NICOLE D GENTILE
Title
NPI COORDINATOR
Phone
(316) 788-5580

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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