Wal-Mart Stores East, LP
NPI #1841200920 in Summersville, West Virginia
Provider Information
- NPI Number
- 1841200920
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East, LP
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Aug 9, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 200 WAL ST
- City
- Summersville
- State
- West Virginia
- ZIP Code
- 26651-2100
- Phone
- (304) 872-6734
Authorized Official
- Name
- TAMMY J BOYD
- Title
- CONTRACT COORDINATOR
- Phone
- (479) 277-1359
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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