Wal-Mart Stores East, LP
NPI #1629151568 in Tullytown, Pennsylvania
Provider Information
- NPI Number
- 1629151568
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East, LP
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Oct 23, 2006
- Last Updated
- Jul 1, 2009
Practice Location
- Address
- 180 LEVITTOWN PARKWAY
- City
- Tullytown
- State
- Pennsylvania
- ZIP Code
- 19007
- Phone
- (215) 949-6600
Authorized Official
- Name
- HOLLY C WILKINSON
- Title
- CARRIER SPECIALIST
- Phone
- (479) 204-8320
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
| Technician/Technologist - Optician — Optician |
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