Organization
WAL-MART PUERTO RICO INC
Active
Organization
WAL-MART PUERTO RICO INC
Active
Other names
Walmart Vision Center 30-5802, Walmart Vision Center #5802
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CANONIC (SR DIRECTOR)
(480) 853-0515
Entity
Organization
Contact information
Practice address
PLAZA CANOVANAS PR # 3 KM 17.8, CANOVANAS, PR 00729
(787) 653-7777
(479) 277-4201
Mailing address
1 CUSTOMER DR, MS 0445, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/08/2008
Last updated
07/17/2026
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