Wal-Mart Stores East, LP

NPI #1558788521 in Sayre, Pennsylvania

Provider Information

NPI Number: 1558788521
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: Mar 27, 2014
Last Updated: Mar 27, 2014

Practice Location

Address: 1887 ELMIRA ST
City: Sayre
State: Pennsylvania
ZIP Code: 18840-9249
Phone: (479) 277-2500

Authorized Official

Name: LAURA LEVINE
Title: DIR HEALTHCARE CONTRACT & ENROLLMEN
Phone: (479) 204-8550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist - Optician — Optician	156FX1800X
Eyewear Supplier	332H00000X	Primary

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