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General NPI Number Information
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NPI Number | 1174904858
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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 | 06/18/2015
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Last Update Date | 06/18/2015
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Provider Practice Location Address
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Address Line | 710 W GRANGEVILLE BLVD
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City | HANFORD
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State | CA
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Zip | 93230-2714
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Country | US
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Telephone | 559-582-9438
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Fax |
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Provider Business Mailing Address
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Address Line | 710 W GRANGEVILLE BLVD
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City | HANFORD
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State | CA
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Zip | 93230-2714
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Country | US
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Telephone | 559-582-9438
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | THIEN THU T HUYNH
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Credential | PHARM.D
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Telephone | 714-889-0546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 72667
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License Number State | CA
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