Wal-Mart Stores East, LP

NPI #1720169865 in Kennett, Missouri

Provider Information

NPI Number
1720169865
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Eyewear Supplier
Enumeration Date
Oct 17, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
1500 1ST ST
ZIP Code
63857-2522
Phone
(573) 888-2084

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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