NPI 1033291760
Wal-Mart Stores East, LP
Practice location
- Address
- 2675 Decherd Blvd, Winchester, TN 37398-1166
- Phone
- (931) 967-0207
- 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
- 1033291760
- Entity type
- Organization
- NPI issued
- 20 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.