Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wal-Mart Puerto Rico Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1174666556

Wal-Mart Puerto Rico Inc is a Durable Medical Equipment & Medical Supplies in Santa Isabel, Puerto Rico. Licensed in Puerto Rico. Registered with an NPI since 2007.

Licensed in
PR
In the registry since
2007
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

Carr Estatal 153 Km 7.2
Santa Isabel, PR 00757-4005
Phone: (787) 971-1010
Fax: (787) 845-0020

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 18-F-2415 (PR)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1174666556
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Walmart Pharmacy 10-3693; Walmart Pharmacy 10-3693
NPI enumeratedFebruary 15, 2007
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026
Mailing address1 Customer Dr, Ms 0445, Bentonville, AR 72716-0445

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