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
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 - OpticianOptician
Eyewear Supplier

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