Provider Information for 1013201516
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WALGREEN CO
Other Names:Doing Business As:WALGREENS # 15067Organization Subpart: YES
NPI: 1013201516
Last Updated: 2024-06-20
Certification Date: 2024-06-20
Certification Date: 2024-06-20
Details
| Name | Value | ||||||||||||||||
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| NPI | 1013201516 | ||||||||||||||||
| Enumeration Date | 2011-06-02 | ||||||||||||||||
| NPI Type | NPI-2 Organization | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Authorized Official Information | Name: VIRGINIA GARZA Title: MANAGER Phone: 2177092364 | ||||||||||||||||
| Mailing Address | 1901 E VOORHEES ST MS 790 DANVILLE, IL 61834-4509 United States Phone: 217-709-2364 | Fax:217-709-2344 | ||||||||||||||||
| Primary Practice Address | 4607 VETERANS MEMORIAL BLVD METAIRIE, LA 70006-5323 United States Phone: 504-457-4075 | Fax:504-457-6295 | ||||||||||||||||
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