# WAL-MART PUERTO RICO

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Wal-Mart Pharmacy 10-3693
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295958213
- **Authorized official:** KARI BAKER (PHARMACY LICENSING SUPERVISOR)
- **Authorized official phone:** (479) 273-6874

## Contact information

- **Practice address:** CARR ESTATAL \#153 KM 7.2, SANTA ISABEL, PR 00757
- **Practice address phone:** (787) 971-1000
- **Mailing address:** 702 SW 8TH ST, BENTONVILLE, AR 72716-0230
- **Mailing address phone:** (479) 273-6874

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 08/22/2020