Wal-Mart Stores East, LP

NPI #1780032987 in Little Egg Harbor, New Jersey

Provider Information

NPI Number: 1780032987
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: May 27, 2016
Last Updated: May 27, 2016

Practice Location

Address: 631 RT. 9 SOUTH
City: Little Egg Harbor
State: New Jersey
ZIP Code: 08087-3517
Phone: (609) 296-7858

Authorized Official

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

Specialties & Taxonomy Codes

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

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