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
1	261QC1500X	Community Health Clinic/Center	PS50538	FL

General Provider Information

NPI Number	:	1558702605
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WALGREENS

Provider Business Mailing Address
First Line	:	7901 MCCLURE CT
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32312-9011
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3994 TYRONE BLVD
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33709
Country	:	US
Telephone Number	:	727-343-2221
Fax Number	:

Authorized Official
Title or Position	:	PHARMACIST
Name	:	DR. ANNETTE LEFRANC
Credential	:
Telephone Number	:	850-591-6213

Provider Enumeration Date	:	07/17/2013
Last Update Date	:	07/17/2013

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Directions to “WALGREENS ” Practice Location

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