Wal-Mart Stores East, LP.
Technician/Technologist, Optician in Abington, MA. Organization (NPI-2).
NPI number1649047713
StatusActive
Last updated in NPPESDec 7, 2023
Details
- NPI
- 1649047713
- Entity type
- Organization (NPI-2)
- Legal business name
- Wal-Mart Stores East, LP.
- Organization subpart
- No
- Enumeration date
- Dec 7, 2023
- Certification date
- Dec 7, 2023
- Last updated
- Dec 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | – | – | Yes |
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – |
Other names
- Walmart Pharmacy 10-3164 (Doing Business As)
Practice location
777 Brockton AveAbington, MA 02351-2111
Phone 781-857-2291 · Fax 781-857-2916
Mailing address
702 Sw 8th StBentonville, AR 72716-0445
Phone 479-258-2115 · Fax 479-277-4331
Authorized official
Michele Garvey
Director Of Health Care Contracting
4792772611
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