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Organization
WALGREEN CO
Active
Organization
WALGREEN CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANH TRAN PHAN (PHARMACIST)
(704) 491-7126
Entity
Organization
Contact information
Practice address
975 S BABCOCK ST, MELBOURNE, FL 32901-1852
(321) 723-4664
Mailing address
975 S BABCOCK ST, MELBOURNE, FL 32901-1852
(321) 723-4664
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS66879
FL
Other
Enumeration date
03/16/2017
Last updated
05/09/2018
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