# WALGREENS

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

## Provider details

- **NPI number:** 1295018455
- **Authorized official:** DEBORAH PHAM PHARM.D (PHARMACIST)
- **Authorized official phone:** (503) 848-7297

## Contact information

- **Practice address:** 19975 SW TUALATIN VALLEY HWY, BEAVERTON, OR 97006-2323
- **Practice address phone:** (503) 848-7297
- **Mailing address:** 19975 SW TUALATIN VALLEY HWY, BEAVERTON, OR 97006-2323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/23/2011
- **Last updated:** 09/23/2011