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General NPI Number Information
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NPI Number | 1063039410
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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 | 07/01/2020
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Last Update Date | 07/16/2020
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Provider Practice Location Address
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Address Line | 49 KELLOGG RD
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City | NEW HARTFORD
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State | NY
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Zip | 13413-2849
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Country | US
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Telephone | 315-734-1893
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Fax |
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Provider Business Mailing Address
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Address Line | 49 KELLOGG RD
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City | NEW HARTFORD
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State | NY
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Zip | 13413-2849
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | ELIZABETH LAZORE
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Credential |
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Telephone | 315-790-4332
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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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