Wal-Mart Stores East, LP

NPI #1932656238 in Bennington, Vermont

Provider Information

NPI Number: 1932656238
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: Sep 2, 2016
Last Updated: Sep 2, 2016

Practice Location

Address: 210 NORTHSIDE DR
City: Bennington
State: Vermont
ZIP Code: 05201-1755
Phone: (479) 204-8550

Authorized Official

Name: LAURA LEVINE
Title: DIRECTOR HEALTHCARE CONTRACTING
Phone: (479) 204-8550

Specialties & Taxonomy Codes

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

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