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Organization
WALGREENS
Active
Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAY PATEL (PHARMACY MANAGER)
(478) 745-3902
Entity
Organization
Contact information
Practice address
1280 GRAY HWY, MACON, GA 31211-1921
(478) 745-3902
(478) 745-5743
Mailing address
1280 GRAY HWY, MACON, GA 31211-1921
(478) 745-3902
(478) 745-5743
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
GA021966
GA
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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