NPI 1093098253
Wal-Mart Stores East LP
Practice location
- Address
- 400 S State Rd, Springfield, PA 19064-1243
- Phone
- (610) 605-3176
- Mailing address
- 702 SW 8th St, Bentonville, AR 72716-0445
Authorised official
- Name
- Dianna Painter
- Title
- Enrollment Specialist
- Phone
- (479) 277-1238
Registered specialties (2)
Eyewear Supplier
Primary
Registry record
- NPI
- 1093098253
- Entity type
- Organization
- NPI issued
- 23 Sep 2011
- Record last updated
- 23 Sep 2011
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.