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Organization
WAL-MART 4134
Active
Organization
WAL-MART 4134
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANG LUONG (PHARMACY MANAGER)
(714) 230-0153
Entity
Organization
Contact information
Practice address
12840 BEACH BLVD, STANTON, CA 90680-4005
(714) 230-0153
(714) 230-0134
Mailing address
12840 BEACH BLVD, STANTON, CA 90680-4005
(714) 230-0153
(714) 230-0134
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
67249
CA
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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