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General NPI Number Information
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NPI Number | 1972874386
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Entity Type | Organization
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Legal Business Name | WALGREEN'S PHARMACY
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Dates
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Enumeration Date | 01/17/2012
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Last Update Date | 01/17/2012
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Provider Practice Location Address
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Address Line | 700 FREDERICK BLVD
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City | PORTSMOUTH
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State | VA
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Zip | 23707-3314
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Country | US
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Telephone | 757-391-9123
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Fax | 757-391-9140
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Provider Business Mailing Address
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Address Line | 1220 DARREN DR
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City | PORTSMOUTH
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State | VA
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Zip | 23701-3731
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Country | US
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Telephone | 917-864-2612
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Fax |
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Authorized Official
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Title or Position | STAFF PHARMACIST
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Name | MR. CURTIS DARNELL JONES
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Credential | RPH
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Telephone | 757-391-9123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 0202207335
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License Number State | VA
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