Wal-Mart Stores East, LP

NPI #1972988426 in Wabash, Indiana

Provider Information

NPI Number: 1972988426
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: Jul 27, 2015
Last Updated: Jul 27, 2015

Practice Location

Address: 1601 N CASS ST
City: Wabash
State: Indiana
ZIP Code: 46992-9404
Phone: (479) 204-8550

Authorized Official

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

Specialties & Taxonomy Codes

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

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