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 1255681144

Wal-Mart Puerto Rico Inc is a Durable Medical Equipment & Medical Supplies in Toa Baja, Puerto Rico. Licensed in Puerto Rico. Registered with an NPI since 2012.

Licensed in
PR
In the registry since
2012
Specialties on file
2
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 2 Sector La Virgencita Inter Carr 165 Media Luna Ward
Toa Baja, PR 00949
Phone: (787) 641-5650

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 18-F-3066 (PR)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1255681144
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Wal-Mart Pharmacy 10-2346; Wal-Mart Pharmacy 10-2346
NPI enumeratedSeptember 18, 2012
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026
Mailing address1 Customer Dr, Ms 0445, Bentonville, AR 72716-0445

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