Wal-Mart Stores East, LP

NPI #1972840098 in Gainesville, Florida

Provider Information

NPI Number
1972840098
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
Jan 9, 2013
Last Updated
Jan 9, 2013

Practice Location

Address
5700 NW 34TH ST
State
Florida
ZIP Code
32653-2016
Phone
(352) 378-0619

Authorized Official

Name
MS. SARIAN E. GRIDER
Title
ENROLLMENT SPECIALIST
Phone
(479) 204-6375

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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