Wal-Mart Stores East LP

NPI #1629368113 in Delafield, Wisconsin

Provider Information

NPI Number
1629368113
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 18, 2011
Last Updated
Apr 18, 2011

Practice Location

Address
2863 HERITAGE DR
ZIP Code
53018-2128
Phone
(262) 646-8858

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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