Wal-Mart Stores East, LP

NPI #1588042790 in Dulles, Virginia

Provider Information

NPI Number
1588042790
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
May 8, 2015
Last Updated
May 8, 2015

Practice Location

Address
24635 DULLES LANDING DR
City
Dulles
ZIP Code
20166-2614
Phone
(571) 349-3847

Authorized Official

Name
LAURA LEVINE
Title
DIRECTOR
Phone
(479) 204-8550

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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