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Organization

WAL-MART PUERTO RICO

Active
Other names
Wal-Mart Pharmacy 10-3693
Organization subpart
No

Provider details

NPI number
Authorized official
KARI BAKER (PHARMACY LICENSING SUPERVISOR)
(479) 273-6874
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
04/10/2007
Last updated
08/22/2020
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