# WALNUT CREEK RX LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Qd Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467137802
- **Authorized official:** MR. PRATAP K ANNE (PHARMACY DIRECTOR)
- **Authorized official phone:** (209) 298-1715

## Contact information

- **Practice address:** 112 LA CASA VIA STE 100, WALNUT CREEK, CA 94598-3016
- **Practice address phone:** (925) 939-6312
- **Practice address fax:** (925) 939-5639
- **Mailing address:** 112 LA CASA VIA STE 100, WALNUT CREEK, CA 94598-3016
- **Mailing address phone:** (925) 939-6312
- **Mailing address fax:** (925) 939-5639

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/21/2023
- **Last updated:** 06/21/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1962061648 | — | CA |