Wal-Mart Stores East LP

NPI #1568545184 in Sheboygan, Wisconsin

Provider Information

NPI Number
1568545184
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
Oct 24, 2006
Last Updated
Mar 28, 2011

Practice Location

Address
3711 S TAYLOR
ZIP Code
53081-4206
Phone
(920) 459-8814

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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