Wal-Mart Stores East, LP

NPI #1770913683 in Canton, Mississippi

Provider Information

NPI Number: 1770913683
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: Nov 14, 2013
Last Updated: Nov 14, 2013

Practice Location

Address: 244 FEATHER LN
City: Canton
State: Mississippi
ZIP Code: 39046-9793
Phone: (479) 277-1242

Authorized Official

Name: LAURA LEVINE
Title: DIR. GIVERNMENT CONTRACTING
Phone: (479) 204-8550

Specialties & Taxonomy Codes

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

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