Organization
WALMART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANDI SUN (PHARMACIST)
(425) 344-1891
Entity
Organization
Contact information
Practice address
1155 AIRPORT PARK BLVD, UKIAH, CA 95482-5998
(707) 468-0258
Mailing address
1155 AIRPORT PARK BLVD, UKIAH, CA 95482-5998
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
09/03/2016
Last updated
09/03/2016
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