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Organization

WAL-MART STORES EAST LP

Active
Parent organization
WAL-MART STORES INC
Other names
Wal-Mart Vision Center 30-0110
Organization subpart
Yes

Provider details

NPI number
Legal business name
WAL-MART STORES INC
Authorized official
LAURA LEVINE (DIRECTOR OF GOVERNMENT CONTRACTING)
(479) 204-8550
Entity
Organization

Contact information

Practice address
16313 NEW INDEPENDENCE PARKWAY, WINTER GARDEN, FL 34787-0000
(407) 554-0179
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
09/15/2016
Last updated
10/21/2016
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