Organization
WALMART PR INC
Active
Other names
Walmart SC 5803
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KYLMARIE SERRANO LIC OPTICIAN (HEALTH& WELLNESS REGIONAL DIRECTOR)
(787) 653-8031
Entity
Organization
Contact information
Practice address
PR-2 TODD AVE. CORCHADO ST. CORNER, SAN JUAN, PR 00936
(787) 641-5600
Mailing address
PMB 725 BOX 4960, CAGUAS, PR 00726
(787) 653-8031
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
12/26/2012
Last updated
12/26/2012
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