Wal-Mart Stores East LP

NPI #1891036562 in West Milwaukee, Wisconsin

Provider Information

NPI Number
1891036562
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 6, 2013
Last Updated
Mar 6, 2013

Practice Location

Address
4140 W GREENFIELD AVE
ZIP Code
53215-1334
Phone
(414) 978-2007

Authorized Official

Name
DEB LAUVER
Title
SPECIALIST PLAN ENROLLMENT
Phone
(479) 204-8741

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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