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General NPI Number Information
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NPI Number | 1851258032
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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 | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 2755 COUNTRY CLUB RD
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City | LAKE CHARLES
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State | LA
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Zip | 70605-5913
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Country | US
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Telephone | 601-218-6109
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Fax |
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Provider Business Mailing Address
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Address Line | 2755 COUNTRY CLUB RD
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City | LAKE CHARLES
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State | LA
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Zip | 70605-5913
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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 | DESHA WILLIAMS
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Credential |
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Telephone | 601-218-6109
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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 |
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License Number State |
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