Walnut Village Pharmacy Inc in Irvine - Pharmacy

Walnut Village Pharmacy Inc - NPI 1669540803

Walnut Village Pharmacy Inc is a Pharmacy in Irvine, California. Walnut Village Pharmacy Inc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Walnut Village Pharmacy Inc is 1669540803. The last update date is 2020-08-28.

Walnut Village Pharmacy Inc's current location address is 4840 Irvine Blvd. Ste 103, Irvine, California. You can contact this provider via phone number 9495514343 and fax number 9495513078. The mailing address for Walnut Village Pharmacy Inc is 4840 Irvine Blvd. Ste 103, Irvine, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Walnut Village Pharmacy Inc
Address 4840 Irvine Blvd. Ste 103, Irvine, California
Phone Number 9495514343
Fax Number 9495513078
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER, PHA
Authorized Official Name Kim B Fred
Credentials PHARM.D.
Telephone Number 9495514343

NPI Number Detail

NPI Number 1669540803
Provider Enumeration Date 2006-12-04
Last Updated Date 2020-08-28

Provider Mailing Address Detail

Address 4840 Irvine Blvd. Ste 103
City Irvine
State California (CA)
Post Code 926201962
Phone Number 9495514343
Fax Number 9495513078

Provider's Primary Taxonomy Detail

Speciality Pharmacy
Taxonomy 333600000X
Definition:
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2002056 PK
PHA508560 CA --

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FAQs about Walnut Village Pharmacy Inc

What is the unique identifier code issued to Walnut Village Pharmacy Inc by the Centers for Medicare & Medicaid Services?

The Walnut Village Pharmacy Inc has been assigned the NPI (National Provider Identifier) 1669540803. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Walnut Village Pharmacy Inc's facilities are geographically located?

The facilities of Walnut Village Pharmacy Inc are physically situated at the following location: 4840 Irvine Blvd. Ste 103, Irvine, CA, 926201962.

What is Walnut Village Pharmacy Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Walnut Village Pharmacy Inc is Pharmacy, and the taxonomy code that categorizes this field of expertise is 333600000X.

On what date was the 1669540803 assigned to Walnut Village Pharmacy Inc?

The Walnut Village Pharmacy Inc was issued its 1669540803 on 2006-12-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Walnut Village Pharmacy Inc last refreshed?

The information related to the Walnut Village Pharmacy Inc, including its address, specialty, and other relevant details, was last updated on 2020-08-28.

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