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NPI Code Detail

MEDICARE: WALGREENS

MEDICARE: WALGREENS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPS36476FL

General Provider Information

NPI Number : 1417227489
Entity Type Code : Organization
Provider Name (Legal Business Name) : WALGREENS
Provider Business Mailing Address
First Line : 4255 COMMERCIAL WAY
Second Line :
City : SPRING HILL
State : FL
Zip : 34606-2326
Country : US
Telephone Number : 352-597-7504
Fax Number :
Provider Business Practice Location Address
First Line : 4255 COMMERCIAL WAY
Second Line :
City : SPRING HILL
State : FL
Zip : 34606-2326
Country : US
Telephone Number : 352-597-7504
Fax Number :
Authorized Official
Title or Position : PHARMACIST
Name : ANTHONY LAURIA
Credential : PHARM.D
Telephone Number : 352-597-7504
Provider Enumeration Date : 01/09/2012
Last Update Date : 01/09/2012

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Directions to “WALGREENS ” Practice Location

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