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Organization
WALMART PHARMACY
Active
Organization
WALMART PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE VAN LE PHARM.D. (PHARMACIST)
(714) 591-1307
Entity
Organization
Contact information
Practice address
11822 GILBERT ST, GARDEN GROVE, CA 92841-2720
(714) 591-1307
(714) 591-1301
Mailing address
6126 JEFFREY MARK ST, CYPRESS, CA 90630-3934
(714) 591-1307
(714) 591-1301
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH52914
CA
Other
Enumeration date
08/02/2014
Last updated
08/02/2014
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