Wal-Mart Puerto Rico INC
NPI #1326065574 in Fajardo, Puerto Rico
Provider Information
- NPI Number
- 1326065574
- Entity Type
- Organization
- Organization Name
- Wal-Mart Puerto Rico INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 16, 2006
- Last Updated
- Jun 16, 2025
Practice Location
- Address
- 150 CARR 940 STE 180
- City
- Fajardo
- State
- Puerto Rico
- ZIP Code
- 00738-3653
- Phone
- (787) 801-0500
Authorized Official
- Name
- KIMBERLY CANONIC
- Title
- SENIOR DIRECTOR, ENROLLMENT
- Phone
- (480) 853-0515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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