Wal-Mart Stores East, LP

NPI #1619322633 in Labelle, Florida

Provider Information

NPI Number: 1619322633
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: Apr 27, 2016
Last Updated: Jan 3, 2017

Practice Location

Address: 1951 W HICKPOCHEE AVE
City: Labelle
State: Florida
ZIP Code: 33935
Phone: (863) 302-6007

Authorized Official

Name: LAURA LEVINE
Title: DIR HEALTH & WELLNESS ENROLL & CONT
Phone: (479) 204-8550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist - Optician — Optician	156FX1800X
Eyewear Supplier	332H00000X	Primary

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