Wal-Mart Stores East LP
NPI #1619256567 in Tunkhannock, Pennsylvania
Provider Information
- NPI Number
- 1619256567
- 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
- Aug 10, 2011
- Last Updated
- Aug 10, 2011
Practice Location
- Address
- 808 HUNTER HWY
- City
- Tunkhannock
- State
- Pennsylvania
- ZIP Code
- 18657
- Phone
- (570) 836-8064
Authorized Official
- Name
- DIANNA PAINTER
- Title
- ENROLLMENT SPECIALIST
- Phone
- (479) 277-1238
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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| Optical Nei INC | |
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