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Wal-mart Stores East, Lp
Eyewear Supplier in Antigo, Wisconsin
NPI 1174605083

Wal-mart Stores East, Lp is a Eyewear Supplier based in Bentonville, WI. Wal-mart Stores East, Lp practices in Antigo, WI. The NPI Number for Wal-mart Stores East, Lp is 1174605083 and holds a License No. (Wisconsin).

The current practice location address for Wal-mart Stores East, Lp is 200 State Highway 64, Antigo, WI and can be reached out via phone at 715-627-1382.

Location: 200 State Highway 64, Antigo, WI, 72716-0235
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174605083
Provider Name
Wal-mart Stores East, Lp
Credential
Provider Entity Type
Organization
Address
200 State Highway 64, Antigo, WI, 72716-0235
Phone Number
715-627-1382
Fax Number
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
200 State Highway 64
City
Antigo
State
Wisconsin
Zip
54409-9416
Phone Number
715-627-1382
Fax Number
person
Provider Business Mailing Address Details
Address
200 State Highway 64
City
Antigo
State
Wisconsin
Zip
54409-9416
Phone Number
715-627-1382
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
()
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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