Wal-Mart Stores East, LP

NPI #1902139629 in Arnold, Missouri

Provider Information

NPI Number: 1902139629
Entity Type: Organization
Organization Name: Wal-Mart Stores East, LP
Primary Specialty: Technician/Technologist - Optician
Enumeration Date: Sep 14, 2009
Last Updated: Sep 14, 2009

Practice Location

Address: 2201 MICHIGAN AVE
City: Arnold
State: Missouri
ZIP Code: 63010-2151
Phone: (636) 282-0297

Authorized Official

Name: HOLLY C WILKINSON
Title: HEALTH & WELLNESS OPTICAL INSURANCE
Phone: (479) 204-8320

Specialties & Taxonomy Codes

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

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