| Organization Name: | WALMART PR INC. |
| NPI Number: | 1588948335 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RENE PABON (RETAIL BUSINESS STRATEGIC DIRECTOR) |
| Mailing Address: | Carr # 1 Bo. Rio Canas Pmb 725 Box 4960 Caguas |
| State: | PR US |
| Postal Code: | 00726 |
| Phone Number: | 7876538031 |
| Fax Number: | 1877981206 |
| NPI Enumeration Date: | 09/28/2011 |
| NPI Last Update Date: | 09/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332H00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |