Provider Information for 1669990388
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WALGREEN CO
Other Names:Doing Business As:RITE AIDOrganization Subpart: YES
NPI: 1669990388
Last Updated: 2018-08-15
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Details
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NPI | 1669990388 | ||||||||||||||||
Enumeration Date | 2017-09-01 | ||||||||||||||||
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 | 1333 5TH AVE GARNER, NC 27529 United States Phone: 919-772-5809 | Fax:919-772-8455 | ||||||||||||||||
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