NPI 1023108628
Wal-Mart Stores East, LP
Practice location
- Address
- 3186 Highway 171 N, Fayette, AL 35555-6172
- Phone
- (205) 932-5277
- Mailing address
- 702 SW 8th St., Bentonville, AR 72716-0235
Authorised official
- Name
- Nicole D Gentile
- Title
- Npi Coordinator
- Phone
- (316) 788-5580
Registered specialties (2)
Eyewear Supplier
Primary
Registry record
- NPI
- 1023108628
- Entity type
- Organization
- NPI issued
- 13 Oct 2006
- Record last updated
- 11 Sep 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.