Wal-Mart Stores East, LP

NPI #1932568235 in Crestwood, Kentucky

Provider Information

NPI Number
1932568235
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
Feb 15, 2016
Last Updated
May 4, 2016

Practice Location

Address
6501 VETERENS MEMORIAL PKWY
ZIP Code
40014-8694
Phone
(502) 243-9766

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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