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NPI Code Detail

MEDICARE: WALGREENS PHARMACY

MEDICARE: WALGREENS PHARMACY
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
1333600000XPharmacy60403CA

General Provider Information

NPI Number : 1730461633
Entity Type Code : Organization
Provider Name (Legal Business Name) : WALGREENS PHARMACY
Provider Business Mailing Address
First Line : 8766 NAVAJO RD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92119-2722
Country : US
Telephone Number : 619-667-8764
Fax Number : 619-667-1208
Provider Business Practice Location Address
First Line : 8766 NAVAJO RD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92119-2722
Country : US
Telephone Number : 619-667-8764
Fax Number : 619-667-1208
Authorized Official
Title or Position : REGISTERED PHARMACIST
Name : MRS. SRISUDA C REIMER
Credential : RPH
Telephone Number : 858-569-1151
Provider Enumeration Date : 09/15/2011
Last Update Date : 09/15/2011

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Directions to “WALGREENS PHARMACY ” Practice Location

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