Wal-Mart Puerto Rico INC
NPI #1255681144 in Toa Baja, Puerto Rico
Provider Information
- NPI Number
- 1255681144
- Entity Type
- Organization
- Organization Name
- Wal-Mart Puerto Rico INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Sep 18, 2012
- Last Updated
- Jun 6, 2025
Practice Location
- Address
- CARR 2 SECTOR LA VIRGENCITA INTER
- Address 2
- CARR 165 MEDIA LUNA WARD
- City
- Toa Baja
- State
- Puerto Rico
- ZIP Code
- 00949
- Phone
- (787) 641-5650
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 Pharmacy — Community/Retail Pharmacy |
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