Wal-Mart Stores East, LP
NPI #1942381314 in Glen Burnie, Maryland
Provider Information
- NPI Number
- 1942381314
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East, LP
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Oct 18, 2006
- Last Updated
- Feb 27, 2008
Practice Location
- Address
- 407 GEORGE CLAUSS BLVD
- City
- Glen Burnie
- State
- Maryland
- ZIP Code
- 21144-4933
- Phone
- (410) 969-0705
Authorized Official
- Name
- DAVID J SIMMONS
- Title
- NPI COORDINATOR
- Phone
- (479) 277-9373
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
| Technician/Technologist - Optician — Optician |
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