Wal-Mart Stores East LP
NPI #1649576067 in Locust Grove, Georgia
Provider Information
- NPI Number
- 1649576067
- 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
- Feb 2, 2011
- Last Updated
- Feb 2, 2011
Practice Location
- Address
- 4949 BILL GARDNER PKWY
- City
- Locust Grove
- State
- Georgia
- ZIP Code
- 30248
- Phone
- (678) 734-3489
Authorized Official
- Name
- DIANNA PAINTER
- Title
- ENROLLMENT SPECIALIST
- Phone
- (479) 277-1238
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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