Organization
WALNUT PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHANDRA KADIYALA (CEO)
(509) 392-1958
Entity
Organization
Contact information
Practice address
10331 W GOSHEN AVE UNIT B, VISALIA, CA 93291-8778
(559) 553-9145
(559) 369-2408
Mailing address
10331 W GOSHEN AVE UNIT B, VISALIA, CA 93291-8778
(559) 553-9145
(559) 369-2408
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58331
PHARMACY LICENSE
CA
Enumeration date
09/05/2021
Last updated
02/03/2025
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