# WALGREENS PHARMACY

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

## Provider details

- **NPI number:** 1174856702
- **Authorized official:** DR. PRINCESS IFEOMA U ACHUSIM (PHARMACIST)
- **Authorized official phone:** (505) 344-1390

## Contact information

- **Practice address:** 4700 4TH ST NW, ALBUQUERQUE, NM 87107-3902
- **Practice address phone:** (505) 344-1390
- **Mailing address:** 4700 4TH ST NW, ALBUQUERQUE, NM 87107-3902
- **Mailing address phone:** (505) 344-1390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | RP00007072 | NM | Yes |

## Other

- **Enumeration date:** 09/15/2009
- **Last updated:** 09/15/2009
