Wal-Mart Stores East, LP

NPI #1851766307 in Rockmart, Georgia

Provider Information

NPI Number
1851766307
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
Dec 9, 2015
Last Updated
Dec 9, 2015

Practice Location

Address
1801 NATHAN DEAN BYP
State
Georgia
ZIP Code
30153-2019
Phone
(678) 685-5003

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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