Wal-Mart Stores East, LP

NPI #1750839072 in Salem, Indiana

Provider Information

NPI Number
1750839072
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 15, 2016
Last Updated
Sep 15, 2016

Practice Location

Address
1309 E HACKBERRY ST
City
Salem
State
Indiana
ZIP Code
47167-9604
Phone
(812) 883-8812

Authorized Official

Name
LAURA LEVINE
Title
DIR HEALTHCARE CONTRACT&ENROLLMENT
Phone
(479) 204-8550

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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