Organization
WALNUT CREEK RX LLC
Active
Other names
Qd Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRATAP K ANNE (PHARMACY DIRECTOR)
(209) 298-1715
Entity
Organization
Contact information
Practice address
112 LA CASA VIA STE 100, WALNUT CREEK, CA 94598-3016
(925) 939-6312
(925) 939-5639
Mailing address
112 LA CASA VIA STE 100, WALNUT CREEK, CA 94598-3016
(925) 939-6312
(925) 939-5639
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962061648
—
CA
Enumeration date
06/21/2023
Last updated
06/21/2023
About Stedi
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