Organization · Type 2 NPI

Wal-Mart Puerto Rico, Inc.

Eyewear Supplier · San Juan, PR

NPI number 1962741884 Active

Practice location

Calle Labra, Esquina Corchado
San Juan, PR 00936

Call (787) 641-5606 Map

Mailing address

702 SW 8th St
Bentonville, AR 72716-0445

Specialties and licenses

Taxonomy	Code	License
Optician	156FX1800X	None listed
Eyewear Supplier Primary	332H00000X	None listed

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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NPI record

NPI: 1962741884
Entity type: Organization (Type 2)
Issued: Feb 13, 2013
Last updated: Feb 13, 2013
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc.

Other names

<unavail>
Wal-Mart Pharmacy 10-5803 · doing business as

Authorized official

Amy Powers
Specialist, Plan Enrollment
(479) 204-0709

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1962741884

Wal-Mart Puerto Rico, Inc.'s National Provider Identifier is 1962741884, issued on Feb 13, 2013. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in San Juan, PR. The record was last updated on Feb 13, 2013.