Provider Information for 1720354582
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WALGREEN CO
Other Names:Doing Business As:PARRISH OCCUPATIONAL HEALTH CLINIC AND PHARMACY #15377Organization Subpart: YES
NPI: 1720354582
Last Updated: 2018-06-15
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Details
Name | Value | ||||||||||||||||
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NPI | 1720354582 | ||||||||||||||||
Enumeration Date | 2012-03-27 | ||||||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||||||
Status | Active | ||||||||||||||||
Authorized Official Information | Name: ALYSSA SWEETEN Title: MANAGER Phone: 2177092386 | ||||||||||||||||
Mailing Address | 1901 E VOORHEES ST MS 790 DANVILLE, IL 61834-4509 United States Phone: 217-709-2386 | Fax:217-709-2344 | ||||||||||||||||
Primary Practice Address | 494 N WASHINGTON AVE STE 100 TITUSVILLE, FL 32796-2871 United States Phone: 321-268-2155 | Fax: | ||||||||||||||||
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