Wal-Mart Stores East, LP

NPI #1891898425 in Gibsonton, Florida

Provider Information

NPI Number
1891898425
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Eyewear Supplier
Enumeration Date
Sep 7, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
9205 GIBSONTON DR
State
Florida
ZIP Code
33534
Phone
(813) 741-1034

Authorized Official

Name
TAMMY J BOYD
Title
CONTRACT COORDINATOR
Phone
(479) 277-1359

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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