Wal-Mart Stores East, LP

NPI #1700255239 in Minocqua, Wisconsin

Provider Information

NPI Number
1700255239
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
Sep 15, 2015
Last Updated
Oct 8, 2015

Practice Location

Address
8760 NORTHRIDGE WAY
ZIP Code
54548-8766
Phone
(715) 356-3819

Authorized Official

Name
DEB LAUVER
Title
SPECIALIST
Phone
(479) 258-2115

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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