NPI 1932656238
Wal-Mart Stores East, LP
Practice location
- Address
- 210 Northside Dr, Bennington, VT 05201-1755
- Phone
- (479) 204-8550
- Fax
- (479) 277-4331
- Mailing address
- 702 SW 8th St Ms 0445, Bentonville, AR 72716-0445
Authorised official
- Name
- Laura Levine
- Title
- Director Healthcare Contracting
- Phone
- (479) 204-8550
Registered specialties (2)
Eyewear Supplier
Primary
Registry record
- NPI
- 1932656238
- Entity type
- Organization
- NPI issued
- 2 Sep 2016
- Record last updated
- 2 Sep 2016
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.