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General NPI Number Information
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NPI Number | 1932476181
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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 | 11/16/2011
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Last Update Date | 11/16/2011
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Provider Practice Location Address
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Address Line | 700 W BROWARD BLVD
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-1748
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Country | US
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Telephone | 954-463-7713
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Fax |
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Provider Business Mailing Address
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Address Line | 700 W BROWARD BLVD
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-1748
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Country | US
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Telephone | 954-463-7713
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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. APRIL R SIMMONS
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Credential | PHARMD
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Telephone | 954-646-1280
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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 |
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License Number State |
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