Walmart

NPI #1083964043 in Toa Baja, Puerto Rico

Provider Information

NPI Number: 1083964043
Entity Type: Organization
Organization Name: Walmart
Primary Specialty: Eyewear Supplier
Enumeration Date: Sep 17, 2012
Last Updated: Sep 17, 2012

Practice Location

Address: CARR PR 2 INTERSECCION PR 165
Address 2: BO MEDIA LUNA
City: Toa Baja
State: Puerto Rico
ZIP Code: 00949
Phone: (787) 653-8031

Authorized Official

Name: MRS. KYLMARIE SERRANO
Title: HEALTH & WELLNESS REGIONAL DIRECTOR
Phone: (787) 643-7777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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