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

Wal-Mart Puerto Rico Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1407879588

Wal-Mart Puerto Rico Inc is a Durable Medical Equipment & Medical Supplies in Caguas, Puerto Rico. Licensed in Puerto Rico. Registered with an NPI since 2006.

Licensed in
PR
In the registry since
2006
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.

Plz Centro Ii Ave Munoz Marin
Caguas, PR 00725-5000
Phone: (787) 746-1039
Fax: (787) 746-1039

No coordinates on file. Search this address in Google Maps

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 19-F-1993 (PR)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1407879588
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Sam'S Pharmacy 10-6689
NPI enumeratedJuly 26, 2006
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026
Mailing address1 Customer Dr, Ms 0445, Bentonville, AR 72716-0445

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