Provider Information for 1063427045
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WALGREEN CO
Other Names:Doing Business As:WALGREENS #09693Organization Subpart: YES
NPI: 1063427045
Last Updated: 2023-11-03
Certification Date: 2023-11-03
Certification Date: 2023-11-03
Details
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NPI | 1063427045 | ||||||||||||||||
Enumeration Date | 2006-07-29 | ||||||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||||||
Status | Active | ||||||||||||||||
Authorized Official Information | Name: KIRA 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 | 1000 E CARL ALBERT PKWY MCALESTER, OK 74501-5121 United States Phone: 918-426-7657 | Fax:918-429-0794 | ||||||||||||||||
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