Wal-Mart 4134
NPI #1851767404 in Stanton, California
Provider Information
- NPI Number
- 1851767404
- Entity Type
- Organization
- Organization Name
- Wal-Mart 4134
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Aug 18, 2015
- Last Updated
- Aug 18, 2015
Practice Location
- Address
- 12840 BEACH BLVD
- City
- Stanton
- State
- California
- ZIP Code
- 90680-4005
- Phone
- (714) 230-0153
Authorized Official
- Name
- LANG LUONG
- Title
- PHARMACY MANAGER
- Phone
- (714) 230-0153
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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