Wal-Mart Stores East, LP

NPI #1902997950 in Moundsville, West Virginia

Provider Information

NPI Number
1902997950
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Eyewear Supplier
Enumeration Date
Sep 27, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
240 LAFAYETTE AVE
ZIP Code
26041-1001
Phone
(304) 843-1580

Authorized Official

Name
NICOLE D GENTILE
Title
NPI COORDINATOR
Phone
(316) 788-5580

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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