Provider Information for 1386659639
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WALGREEN CO
Other Names:Doing Business As:WALGREENS #01826Organization Subpart: YES
NPI: 1386659639
Last Updated: 2023-10-30
Certification Date: 2023-10-30
Certification Date: 2023-10-30
Details
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NPI | 1386659639 | ||||||||||||||||
Enumeration Date | 2006-07-29 | ||||||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||||||
Status | Active | ||||||||||||||||
Authorized Official Information | Name: KIRA L 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 | 324 N MAIN ST WEST HARTFORD, CT 06117-2675 United States Phone: 860-236-1980 | Fax: | ||||||||||||||||
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