Wal-Mart Stores East, LP

NPI #1720182819 in Logan, Ohio

Provider Information

NPI Number: 1720182819
Entity Type: Organization
Organization Name: Wal-Mart Stores East, LP
Primary Specialty: Eyewear Supplier
Enumeration Date: Sep 11, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 12910 STATE ROUTE 664 S
City: Logan
State: Ohio
ZIP Code: 43138-8564
Phone: (740) 380-1472

Authorized Official

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

Specialties & Taxonomy Codes

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

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