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General NPI Number Information
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NPI Number | 1932502051
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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 | 10/02/2014
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Last Update Date | 10/02/2014
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Provider Practice Location Address
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Address Line | 1801 SW RAILROAD AVE
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City | HAMMOND
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State | LA
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Zip | 70403-6117
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Country | US
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Telephone | 985-902-9249
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 SW RAILROAD AVE
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City | HAMMOND
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State | LA
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Zip | 70403-6117
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Country | US
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Telephone | 985-902-9249
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | NOEL FAUCHEUX
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Credential | RPH
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Telephone | 985-705-0763
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | PST.011765
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License Number State | LA
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