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General NPI Number Information
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NPI Number | 1750651337
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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 | 01/12/2012
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Last Update Date | 01/12/2012
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Provider Practice Location Address
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Address Line | 2295 E BAY DR
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City | LARGO
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State | FL
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Zip | 33771-2324
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Country | US
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Telephone | 727-585-6810
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Fax |
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Provider Business Mailing Address
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Address Line | 4007 W SAN MIGUEL ST
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City | TAMPA
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State | FL
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Zip | 33629-5725
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Country | US
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Telephone | 813-340-7022
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | MRS. ANGELA RAE CHALMERS
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Credential |
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Telephone | 727-585-6810
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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 | PS25569
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License Number State | FL
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