| NPI | 1669540803 |
|---|---|
| Doing Business As | WALNUT VILLAGE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | FRED B KIM Owner, Pharmacist In Charge 949-551-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-28 |