# WALGREENS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Walgreens
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134498942
- **Authorized official:** MR. MARK STEPHEN MCCALL (PHARMACIST)
- **Authorized official phone:** (937) 478-5506

## Contact information

- **Practice address:** 1001 W STATE ST, TRENTON, OH 45067-1585
- **Practice address phone:** (513) 737-3504
- **Mailing address:** 1663 OLD STATE ROUTE 122, LEBANON, OH 45036-9499
- **Mailing address phone:** (937) 478-5506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 03315609 | OH | Yes |
| 305S00000X | Point of Service | 03315609 | OH | — |

## Other

- **Enumeration date:** 12/22/2011
- **Last updated:** 12/22/2011