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NPI Code Detail

MEDICARE: WALGREEN'S

MEDICARE: WALGREEN'S
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
13336C0003XCommunity/Retail Pharmacy45270TX

General Provider Information

NPI Number : 1619204328
Entity Type Code : Organization
Provider Name (Legal Business Name) : WALGREEN'S
Provider Business Mailing Address
First Line : 8050 N MESA ST
Second Line :
City : EL PASO
State : TX
Zip : 79932-1645
Country : US
Telephone Number : 915-585-0491
Fax Number :
Provider Business Practice Location Address
First Line : 8050 N MESA ST
Second Line :
City : EL PASO
State : TX
Zip : 79932-1645
Country : US
Telephone Number : 915-585-0491
Fax Number :
Authorized Official
Title or Position : STAFF PHARMACIST
Name : DR. TABITHA ANNE CARREON
Credential : PHARM D
Telephone Number : 915-276-8764
Provider Enumeration Date : 11/17/2009
Last Update Date : 11/17/2009

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Directions to “WALGREEN'S ” Practice Location

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