Wal-Mart Stores East LP

NPI #1548271265 in Pineville, Missouri

Provider Information

NPI Number
1548271265
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
Aug 10, 2006
Last Updated
Jun 8, 2011

Practice Location

Address
100 COMMERCIAL DR
ZIP Code
64856
Phone
(417) 226-5850

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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