Wal-Mart Puerto Rico INC
NPI #1598788671 in Ponce, Puerto Rico
Provider Information
- NPI Number
- 1598788671
- Entity Type
- Organization
- Organization Name
- Wal-Mart Puerto Rico INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 26, 2006
- Last Updated
- Jun 6, 2025
Practice Location
- Address
- 3305 AVE BARAMAYA STE 100
- City
- Ponce
- State
- Puerto Rico
- ZIP Code
- 00728-2777
- Phone
- (787) 709-4036
Authorized Official
- Name
- KIMBERLY CANONIC
- Title
- SENIOR DIRECTOR, ENROLLMENT
- Phone
- (480) 277-6348
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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