Wal-Mart Stores East, LP

NPI #1619080074 in Camillus, New York

Provider Information

NPI Number
1619080074
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Eyewear Supplier
Enumeration Date
Aug 17, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
5399 W GENESEE ST
ZIP Code
13031-2265
Phone
(315) 487-0121

Authorized Official

Name
TAMMY J BOYD
Title
CONTRACT COORDINATOR
Phone
(479) 277-1359

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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