Provider Information for 1689192726
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WALGREEN CO
Other Names:Doing Business As:RITE AID #3362Organization Subpart: YES
NPI: 1689192726
Last Updated: 2018-05-01
Certification Date:
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Details
| Name | Value | ||||||||||||||||
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| NPI | 1689192726 | ||||||||||||||||
| Enumeration Date | 2017-09-08 | ||||||||||||||||
| 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 | 5215 PLANK RD FREDERICKSBURG, VA 22407-6642 United States Phone: 540-548-2725 | Fax:540-548-2486 | ||||||||||||||||
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