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 1740203918

Wal-Mart Puerto Rico Inc is a Durable Medical Equipment & Medical Supplies in Mayaguez, 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.

975 Ave Hostos Ste 2100 Mayaguez Mall Carr 2
Mayaguez, PR 00680-1252
Phone: (787) 265-1090
Fax: (479) 277-4331

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 19-F-2163 (PR)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1740203918
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Walmart Pharmacy 10-2067
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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