Wal-Mart Stores East, LP

NPI #1740658137 in Berlin, Wisconsin

Provider Information

NPI Number
1740658137
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Subpart
Yes (part of a larger organization)
Parent Organization
WAL-MART STORES, INC.
Primary Specialty
Eyewear Supplier
Enumeration Date
Sep 2, 2015
Last Updated
Oct 6, 2015

Practice Location

Address
W861 COUNTY ROAD F
City
Berlin
ZIP Code
54923-9110
Phone
(920) 361-9800

Authorized Official

Name
DEB LAUVER
Title
SPECIALIST
Phone
(479) 258-2115

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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