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General NPI Number Information
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NPI Number | 1912752031
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Entity Type | Organization
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Legal Business Name | WALGREENS PHARMACY
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Dates
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Enumeration Date | 04/22/2024
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 9625 WHITE SETTLEMENT RD
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City | FORT WORTH
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State | TX
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Zip | 76108-4406
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Country | US
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Telephone | 817-367-3469
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Fax |
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Provider Business Mailing Address
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Address Line | 7019 ROVATO DR
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City | ARLINGTON
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State | TX
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Zip | 76001-6215
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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 | OSEYI ITOYA
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Credential | PHARMD
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Telephone | 682-240-3307
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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