Wal-Mart Stores East LP

NPI #1619282803 in Jasper, Georgia

Provider Information

NPI Number
1619282803
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 11, 2010
Last Updated
Aug 11, 2010

Practice Location

Address
1100 OLD PHILADELPHIA RD
City
Jasper
State
Georgia
ZIP Code
30143
Phone
(706) 301-5696

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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