Organization
WAL-MART STORES EAST , LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE GARVEY (SENIOR DIRECTOR II, BILLING)
(479) 277-2611
Entity
Organization
Contact information
Practice address
111 N PERKINS RD, STILLWATER, OK 74075-5521
(405) 564-7822
(405) 564-7823
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 360-0304
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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