Wal-Mart Stores East, LP

NPI #1578934980 in Fowlerville, Michigan

Provider Information

NPI Number: 1578934980
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 12, 2015
Last Updated: Dec 16, 2016

Practice Location

Address: 970 GEHRINGER DR
City: Fowlerville
State: Michigan
ZIP Code: 48836-8622
Phone: (477) 258-2115

Authorized Official

Name: DEB LAUVER
Title: SPECIALIST PLAN ENROLLMENT
Phone: (479) 258-2115

Specialties & Taxonomy Codes

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

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