Wal-Mart Stores East, LP
NPI #1992888796 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1992888796
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East, LP
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Oct 23, 2006
- Last Updated
- May 19, 2015
Practice Location
- Address
- 2150 IOWA BLVD
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39180-5572
- Phone
- (601) 638-9202
Authorized Official
- Name
- LAURA LEVINE
- Title
- DIRECTOR
- Phone
- (479) 204-8550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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