Wal-Mart Stores East, LP

NPI #1841200540 in Jackson, Ohio

Provider Information

NPI Number: 1841200540
Entity Type: Organization
Organization Name: Wal-Mart Stores East, LP
Primary Specialty: Eyewear Supplier
Enumeration Date: Aug 8, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 100 WALMART DR
City: Jackson
State: Ohio
ZIP Code: 45640-8692
Phone: (740) 288-2700

Authorized Official

Name: TAMMY J BOYD
Title: CONTRACT COORDINATOR
Phone: (479) 277-1359

Specialties & Taxonomy Codes

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

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