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Organization
WALMART
Active
Organization
WALMART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEVONNE SERVICE PHARMD (MARKET DIRECTOR)
(479) 295-1552
Entity
Organization
Contact information
Practice address
470 N AIRPORT RD, WILLOWS, CA 95988-9701
(530) 934-2042
(530) 934-2021
Mailing address
470 N AIRPORT RD, WILLOWS, CA 95988-9701
(530) 934-2042
(530) 934-2021
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
63611
CA
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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