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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
1183500000XPharmacist52177TX

General Provider Information

NPI Number : 1912241464
Entity Type Code : Organization
Provider Name (Legal Business Name) : WALGREEN'S
Provider Business Mailing Address
First Line : 3301 DENTON HWY
Second Line :
City : HALTOM CITY
State : TX
Zip : 76117-3200
Country : US
Telephone Number : 817-222-9247
Fax Number :
Provider Business Practice Location Address
First Line : 3301 DENTON HWY
Second Line :
City : HALTOM CITY
State : TX
Zip : 76117-3200
Country : US
Telephone Number : 817-222-9247
Fax Number :
Authorized Official
Title or Position : PHARMACIST SUPERVISOR
Name : DR. EMANUEL GEORGE
Credential : PHARM.D
Telephone Number : 214-529-1125
Provider Enumeration Date : 11/22/2012
Last Update Date : 11/22/2012

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Directions to “WALGREEN'S ” Practice Location

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