Wal-Mart Stores East, Lp.
NPI #1730956244 in Fayetteville, West Virginia
Provider Information
- NPI Number
- 1730956244
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East, Lp.
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Dec 5, 2023
- Last Updated
- Dec 5, 2023
Practice Location
- Address
- 204 TOWN CENTER RD
- City
- Fayetteville
- State
- West Virginia
- ZIP Code
- 25840-9540
- Phone
- (304) 574-3788
Authorized Official
- Name
- MICHELE GARVEY
- Title
- DIRECTOR OF HEALTH CARE CONTRACTING
- Phone
- (479) 277-2611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
| Technician/Technologist - Optician — Optician |
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