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Organization
WALMART
Active
Organization
WALMART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE GRILO (MHWD)
(479) 418-6159
Entity
Organization
Contact information
Practice address
13425 COMMUNITY RD, POWAY, CA 92064-4723
(858) 486-1801
(858) 486-1803
Mailing address
13425 COMMUNITY RD, POWAY, CA 92064-4723
(858) 486-1801
(858) 486-1803
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
63867
CA
Other
Enumeration date
07/17/2016
Last updated
07/17/2016
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