# WALGREENS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033490099
- **Authorized official:** MR. MATTHEW PALLO RPH (WALGREENS DISTRICT PHARMACY SUPERVI)
- **Authorized official phone:** (216) 224-1379

## Contact information

- **Practice address:** 520 BROADWAY AVE, BEDFORD, OH 44146-2724
- **Practice address phone:** (440) 232-6500
- **Practice address fax:** (440) 232-4921
- **Mailing address:** 520 BROADWAY AVE, BEDFORD, OH 44146-2724
- **Mailing address phone:** (440) 232-6500
- **Mailing address fax:** (440) 232-4921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 03113647 | OH | Yes |

## Other

- **Enumeration date:** 09/06/2011
- **Last updated:** 09/06/2011
