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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
1261QH0100XHealth Service Clinic/Center12154TN

General Provider Information

NPI Number : 1730492166
Entity Type Code : Organization
Provider Name (Legal Business Name) : WALGREENS
Provider Business Mailing Address
First Line : 6770 MACON RD
Second Line :
City : MEMPHIS
State : TN
Zip : 38134-7542
Country : US
Telephone Number : 901-371-0255
Fax Number : 901-371-9604
Provider Business Practice Location Address
First Line : 6770 MACON RD
Second Line :
City : MEMPHIS
State : TN
Zip : 38134-7542
Country : US
Telephone Number : 901-371-0255
Fax Number : 901-371-9604
Authorized Official
Title or Position : PHAMACIST
Name : NATHANIEL WILSON
Credential :
Telephone Number : 901-201-9898
Provider Enumeration Date : 07/14/2010
Last Update Date : 07/14/2010

Similar Medicare Providers

1053328054 — WALGREEN CO
Practice Location Address:
6770 MACON RD
MEMPHIS, TN
38134-7542
Practice Phone: 901-371-0255
Practice Fax:
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1255618005 — DR. NATHANIEL WILSON PHARM D.
Practice Location Address:
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1982968327 — DR. MICHAEL L MOHLER PHARM.D.
Practice Location Address:
6770 MACON RD
MEMPHIS, TN
38134-7542
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Practice Fax:
1891422812 — DANIEL ARMSTRONG
Practice Location Address:
6770 MACON RD APT 304
MEMPHIS, TN
38134-7542
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Practice Fax:
1740081348 — TRANGCHAU KIM NGUYEN PHARM.D
Practice Location Address:
6770 MACON RD
MEMPHIS, TN
38134-7542
Practice Phone: 901-371-0255
Practice Fax: 901-371-9604

Directions to “WALGREENS ” Practice Location

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