Wal-Mart Stores East, LP

NPI #1679658546 in Mason, Ohio

Provider Information

NPI Number
1679658546
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Eyewear Supplier
Enumeration Date
Oct 26, 2006
Last Updated
Feb 21, 2014

Practice Location

Address
5303 BOWEN DR
City
Mason
State
Ohio
ZIP Code
45040-6732
Phone
(513) 583-9333

Authorized Official

Name
LAURA LEVINE
Title
DIRECTOR OF HEALTHCARE CONTRACTING
Phone
(479) 204-8550

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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