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 1780607861

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

Parque Escorial Carr 3 Bo San Anton
Carolina, PR 00987-5162
Phone: (787) 701-1060
Fax: (787) 701-1040

No coordinates on file. Search this address in Google Maps

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 17-F-1829 (PR)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1780607861
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Walmart Pharmacy 10-2423; Walmart Pharmacy 10-2423
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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