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Walmart Inc.
Community/Retail Pharmacy in Clearlake, California
NPI 1831117308

Walmart Inc. is a Community/Retail Pharmacy based in Bentonville, CA and is specialized in Community/Retail Pharmacy. Walmart Inc. practices in Clearlake, CA. The NPI Number for Walmart Inc. is 1831117308 and holds a License No. (California).

The current practice location address for Walmart Inc. is 15960 Dam Rd, Clearlake, CA and can be reached out via phone at 707-994-1671 and via fax at 707-994-1673.

Location: 15960 Dam Rd, Clearlake, CA, 72716-0445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831117308
Provider Name
Walmart Inc.
Credential
Provider Entity Type
Organization
Address
15960 Dam Rd, Clearlake, CA, 72716-0445
Phone Number
707-994-1671
Fax Number
707-994-1673
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2103327 01 PK
463PHA395480 05 CA
463PHA396660 05 CA
institution
Provider Business Practice Location Address Details
Address
15960 Dam Rd
City
Clearlake
State
California
Zip
95422-7906
Phone Number
707-994-1671
Fax Number
707-994-1673
person
Provider Business Mailing Address Details
Address
15960 Dam Rd
City
Clearlake
State
California
Zip
95422-7906
Phone Number
707-994-1671
Fax Number
707-994-1673
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
PHY39666 (California)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
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 prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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