Wal-Mart Stores East, LP

NPI #1568542942 in Brunswick, Maine

Provider Information

NPI Number
1568542942
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Eyewear Supplier
Enumeration Date
Oct 17, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
15 TIBBETTS DR
State
Maine
ZIP Code
04011-2680
Phone
(207) 725-0773

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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