NPI 1114054517

Wal-Mart Puerto Rico INC

Organisation Eyewear Supplier Carolina, PR

Practice location

Address: Parque Escorial Bo. San Anton State Rd. #3, Carolina, PR 00792-0000
Phone: (787) 257-0500
Fax: (787) 257-0670
Mailing address: 1 Customer Dr Ms 0445, Bentonville, AR 72716-0445

Authorised official

Name: Kimberly Canonic
Title: Sr Director
Phone: (480) 853-0515

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Puerto Rico →

Registry record

NPI: 1114054517
Entity type: Organization
NPI issued: 27 Feb 2007
Record last updated: 17 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.