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Organization
WALMART
Active
Organization
WALMART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAYK GINOSYAN PHARMD (PHARMACIST)
(916) 990-6969
Entity
Organization
Contact information
Practice address
8961 GREENBACK LN, ORANGEVALE, CA 95662-4601
(916) 989-9380
Mailing address
8961 GREENBACK LN, ORANGEVALE, CA 95662-4601
(916) 989-9380
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
75157
CA
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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