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Organization
WALGREENS
Active
Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE LEITER (PHARMACY SUPERVISOR)
(602) 577-6476
Entity
Organization
Contact information
Practice address
4111 N 24TH ST, PHOENIX, AZ 85016-6222
(602) 381-0696
(602) 381-0696
Mailing address
5324 E WASHINGTON ST, PHOENIX, AZ 85034-2144
(602) 732-3384
(602) 732-3394
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S019460
AZ
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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