Wal-Mart Puerto Rico INC

NPI #1285860312 in Ponce, Puerto Rico

Provider Information

NPI Number
1285860312
Entity Type
Organization
Organization Name
Wal-Mart Puerto Rico INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jun 3, 2009
Last Updated
Jun 5, 2025

Practice Location

Address
CARRETERA ESTATAL 2
Address 2
2188 AVE EDUARDO RUBERTE
City
Ponce
ZIP Code
00728-2777
Phone
(787) 843-4835

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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