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Organization
WALGREENS PHARMACY
Active
Organization
WALGREENS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN WIEDER (PHARMACIST)
(252) 695-6253
Entity
Organization
Contact information
Practice address
3101 E 10TH ST, GREENVILLE, NC 27858-4203
(252) 695-6253
Mailing address
3101 E 10TH ST, GREENVILLE, NC 27858-4203
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11118
NC
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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