Organization
WALMART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FIONNA CHIN CHAU (PHARMACIST)
(413) 386-7533
Entity
Organization
Contact information
Practice address
1399 NAT WASHINGTON WAY, EPHRATA, WA 98823-2629
(509) 754-8847
Mailing address
1133 N GRAPE DR, APT B105, MOSES LAKE, WA 98837-4052
(413) 386-7533
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH60665016
WA
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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