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General NPI Number Information
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NPI Number | 1396292637
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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 | 09/03/2016
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Last Update Date | 09/03/2016
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Provider Practice Location Address
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Address Line | 1515 LOCKWOOD DR
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City | HOUSTON
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State | TX
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Zip | 77020-4725
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Country | US
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Telephone | 832-236-3385
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Fax |
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Provider Business Mailing Address
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Address Line | 1515 LOCKWOOD DR
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City | HOUSTON
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State | TX
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Zip | 77020-4725
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Country | US
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Telephone | 832-236-3385
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | DOMINIQUE SANGSTER
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Credential | PHARMD
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Telephone | 832-236-3385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 59369
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License Number State | TX
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