Provider Information for 1073038352
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WALGREEN CO
Other Names:Doing Business As:WALGREENS #17685Organization Subpart: YES
NPI: 1073038352
Last Updated: 2022-05-16
Certification Date: 2022-05-16
Certification Date: 2022-05-16
Details
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NPI | 1073038352 | ||||||||||||||||
Enumeration Date | 2017-08-08 | ||||||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||||||
Status | Active | ||||||||||||||||
Authorized Official Information | Name: KIRA TAYLOR Title: Manager Phone: 2177092351 | ||||||||||||||||
Mailing Address | 1901 E VOORHEES ST MS 790 DANVILLE, IL 61834-4509 United States Phone: 217-709-2351 | Fax:217-709-2344 | ||||||||||||||||
Primary Practice Address | 14 MCGRATH HWY STE 3 SOMERVILLE, MA 02143-4509 United States Phone: 617-776-3000 | Fax:617-776-1491 | ||||||||||||||||
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