Provider Information for 1427065432
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WALGREEN CO
Other Names:Doing Business As:WALGREENS #07256Organization Subpart: YES
NPI: 1427065432
Last Updated: 2022-05-16
Certification Date: 2022-05-16
Certification Date: 2022-05-16
Details
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NPI | 1427065432 | ||||||||||||||||
Enumeration Date | 2006-08-02 | ||||||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||||||
Status | Active | ||||||||||||||||
Authorized Official Information | Name: KIRA L TAYLOR Title: Manager Phone: 2177092351 | ||||||||||||||||
Mailing Address | 1901 E VOORHEES ST MAILSTOP #790 DANVILLE, IL 61834-4509 United States Phone: 217-709-2351 | Fax:217-709-2344 | ||||||||||||||||
Primary Practice Address | 2140 E DOROTHY LN KETTERING, OH 45420-1114 United States Phone: 937-395-0633 | Fax: | ||||||||||||||||
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