Wal-Mart Stores East LP

NPI #1598073108 in Muskego, Wisconsin

Provider Information

NPI Number
1598073108
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
Sep 16, 2010
Last Updated
Sep 16, 2010

Practice Location

Address
W159 S6530 MOORLAND
ZIP Code
53150
Phone
(414) 209-0320

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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