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General NPI Number Information
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NPI Number | 1437608346
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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 | 10/04/2016
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Last Update Date | 10/10/2016
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Provider Practice Location Address
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Address Line | 3851 4TH ST N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33703-6114
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Country | US
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Telephone | 813-957-4506
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Fax |
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Provider Business Mailing Address
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Address Line | 3520 35TH ST N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33713-1423
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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 | DRASHTI KALARIYA
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Credential |
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Telephone | 813-957-4506
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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 | PS55722
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License Number State | FL
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