Wal-Mart Puerto Rico INC
NPI #1033132113 in Fajardo, Puerto Rico
Provider Information
- NPI Number
- 1033132113
- Entity Type
- Organization
- Organization Name
- Wal-Mart Puerto Rico INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WAL-MART STORES INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 26, 2006
- Last Updated
- Dec 14, 2012
Practice Location
- Address
- CARR 194 KM 2 0
- City
- Fajardo
- State
- Puerto Rico
- ZIP Code
- 00738
- Phone
- (787) 863-7404
Authorized Official
- Name
- LAURA LEVINE
- Title
- MGR OF GOVERNMENT CONTRACTING
- Phone
- (479) 204-8550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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