Organization
WALMART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY BUI PHARMD (RPH)
(714) 717-7068
Entity
Organization
Contact information
Practice address
6250 VALLEY SPRINGS PKWY, RIVERSIDE, CA 92507-0970
(951) 653-2969
Mailing address
6250 VALLEY SPRINGS PKWY, RIVERSIDE, CA 92507-0970
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
74600
CA
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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