Organization
WAL-MART STORES EAST, LP
Active
Parent organization
WAL-MART STORES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES, INC.
Authorized official
LAURA LEVINE (DIRECTOR, HEALTHCARE CONTRACTING AN)
(479) 258-6180
Entity
Organization
Contact information
Practice address
375 S MAIN STREET, TIMBERVILLE, VA 22853-0000
(540) 896-0641
Mailing address
702 SW 8TH STREET, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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