Organization
WAL-MART STORES EAST , LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE GARVEY (SENIOR DIRECTOR)
(479) 277-2611
Entity
Organization
Contact information
Practice address
432 S GEORGE NIGH EXPY, MCALESTER, OK 74501-6025
(918) 558-6002
(918) 558-6025
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 371-2232
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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