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NPI Code Detail

MEDICARE: WALGREENS PHARMACY

MEDICARE: WALGREENS PHARMACY
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
1333600000XPharmacy333600000XTX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467789859
Entity Type Code : Organization
Provider Name (Legal Business Name) : WALGREENS PHARMACY
Provider Business Mailing Address
First Line : 9329 KATY FWY
Second Line :
City : HOUSTON
State : TX
Zip : 77024-1512
Country : US
Telephone Number : 713-461-3607
Fax Number : 713-461-8378
Provider Business Practice Location Address
First Line : 9329 KATY FWY
Second Line :
City : HOUSTON
State : TX
Zip : 77024-1512
Country : US
Telephone Number : 713-461-3607
Fax Number : 713-461-8378
Authorized Official
Title or Position : PHARMACIST
Name : MRS. GWENDOLYN JOYCE DOUGLAS
Credential :
Telephone Number : 713-461-3607
Provider Enumeration Date : 11/05/2009
Last Update Date : 11/05/2009

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Directions to “WALGREENS PHARMACY ” Practice Location

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