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Organization
WALGREENS
Active
Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOB E BECKER RPH (PHARMACIST)
(305) 322-4710
Entity
Organization
Contact information
Practice address
524 JEFFERSON AVE, MIAMI BEACH, FL 33139-6303
(305) 531-7688
Mailing address
1140 VENETIAN WAY APT 2A, MIAMI, FL 33139-1067
(305) 322-4710
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS19973
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BIMINI777
—
FL
Enumeration date
12/21/2011
Last updated
12/21/2011
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