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NPI Code Detail

MEDICARE: WALGREENS

MEDICARE: WALGREENS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy59369TX

General Provider Information

NPI Number : 1396292637
Entity Type Code : Organization
Provider Name (Legal Business Name) : WALGREENS
Provider Business Mailing Address
First Line : 1515 LOCKWOOD DR
Second Line :
City : HOUSTON
State : TX
Zip : 77020-4725
Country : US
Telephone Number : 832-236-3385
Fax Number :
Provider Business Practice Location Address
First Line : 1515 LOCKWOOD DR
Second Line :
City : HOUSTON
State : TX
Zip : 77020-4725
Country : US
Telephone Number : 832-236-3385
Fax Number :
Authorized Official
Title or Position : PHARMACIST
Name : DOMINIQUE SANGSTER
Credential : PHARMD
Telephone Number : 832-236-3385
Provider Enumeration Date : 09/03/2016
Last Update Date : 09/03/2016

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Directions to “WALGREENS ” Practice Location

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