Wal-Mart Stores East, LP

NPI #1851452494 in Columbia, Missouri

Provider Information

NPI Number: 1851452494
Entity Type: Organization
Organization Name: Wal-Mart Stores East, LP
Primary Specialty: Technician/Technologist - Optician
Enumeration Date: Dec 13, 2006
Last Updated: Jun 16, 2008

Practice Location

Address: 1201 GRINDSTONE PKWY
City: Columbia
State: Missouri
ZIP Code: 65201-3741
Phone: (573) 449-0815

Authorized Official

Name: MR. DAVID J SIMMONS
Title: NPI ASSOCIATE
Phone: (479) 277-9373

Specialties & Taxonomy Codes

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

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