Wal-Mart Stores East, LP

NPI #1700986601 in Covington, Tennessee

Provider Information

NPI Number
1700986601
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Eyewear Supplier
Enumeration Date
Sep 22, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
2201 LANNY BRIDGES AVE.
ZIP Code
38019
Phone
(901) 476-7021

Authorized Official

Name
TAMMY J BOYD
Title
CONTRACT COORDINATOR
Phone
(479) 277-1359

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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