Wal-Mart Stores East LP

NPI #1821394248 in Fallston, Maryland

Provider Information

NPI Number
1821394248
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
Feb 2, 2011
Last Updated
Feb 2, 2011

Practice Location

Address
303 FALLSTON BLVD
ZIP Code
21047
Phone
(443) 686-7043

Authorized Official

Name
DIANNA PAINTER
Title
ENROLLMENT SPECIALIST
Phone
(479) 277-1238

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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