Wal-Mart Puerto Rico INC

NPI #1194988709 in Canovanas, Puerto Rico

Provider Information

NPI Number
1194988709
Entity Type
Organization
Organization Name
Wal-Mart Puerto Rico INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 3, 2008
Last Updated
Jun 5, 2025

Practice Location

Address
PLAZA CANOVANAS HWY 3 INT NEW RT 66
ZIP Code
00729
Phone
(787) 957-2715

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 277-6348

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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