Wal-Mart Stores East, LP

NPI #1710065768 in Oak Ridge, Tennessee

Provider Information

NPI Number
1710065768
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Eyewear Supplier
Enumeration Date
Nov 1, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
373 S ILLINOIS AVE
ZIP Code
37830-6741
Phone
(865) 481-2503

Authorized Official

Name
NICOLE D GENTILE
Title
NPI COORDINATOR
Phone
(316) 788-5580

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