Wal-Mart Stores East, LP

NPI #1699140145 in Warrington, Pennsylvania

Provider Information

NPI Number: 1699140145
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: Dec 9, 2015
Last Updated: Dec 9, 2015

Practice Location

Address: 299 VALLEY GATE DR
City: Warrington
State: Pennsylvania
ZIP Code: 18976-2745
Phone: (215) 448-9025

Authorized Official

Name: LAURA LEVINE
Title: DIR OF HEALTHCARE CONTRACT & ENROLL
Phone: (479) 204-8550

Specialties & Taxonomy Codes

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

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