Wal-Mart Stores East, LP

NPI #1851717961 in Holly Springs, Georgia

Provider Information

NPI Number
1851717961
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
Mar 13, 2014
Last Updated
Mar 13, 2014

Practice Location

Address
2200 HOLLY SPRINGS PKEY
State
Georgia
ZIP Code
30115
Phone
(479) 277-2500

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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