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General NPI Number Information
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NPI Number | 1043602451
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Entity Type | Organization
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Legal Business Name | WALGREENS
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Dates
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Enumeration Date | 02/22/2015
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Last Update Date | 02/22/2015
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Provider Practice Location Address
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Address Line | 10673 CULEBRA RD
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City | SAN ANTONIO
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State | TX
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Zip | 78251-1346
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Country | US
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Telephone | 210-647-9842
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Fax | 210-647-9783
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Provider Business Mailing Address
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Address Line | 10673 CULEBRA RD
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City | SAN ANTONIO
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State | TX
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Zip | 78251-1346
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Country | US
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Telephone | 210-647-9842
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Fax | 210-647-9783
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Authorized Official
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Title or Position | PHARMACIST
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Name | DR. KIEU THUY TRAN
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Credential | PHARMD
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Telephone | 361-212-7285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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