Walmart #1854

NPI #1023144474 in Hatillo, Puerto Rico

Provider Information

NPI Number: 1023144474
Entity Type: Organization
Organization Name: Walmart #1854
Primary Specialty: Eyewear Supplier
Enumeration Date: Feb 27, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: STATE RD #2 KM 81.9
Address 2: BO. CARRIZALES
City: Hatillo
State: Puerto Rico
ZIP Code: 00659-0000
Phone: (787) 817-2160

Authorized Official

Name: MR. JORGE L HERNANDEZ
Title: DIRECTOR OF SPECIALTY DIVISIONS
Phone: (787) 653-7777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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