# WALGREENS

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

## Provider details

- **NPI number:** 1306386073
- **Authorized official:** SOPHIE GENICOT (DISTRICT MANAGER)
- **Authorized official phone:** (858) 647-4847

## Contact information

- **Practice address:** 10787 CAMINO RUIZ, SAN DIEGO, CA 92126-2304
- **Practice address phone:** (858) 437-0762
- **Mailing address:** 4152 32ND ST, APT 11, SAN DIEGO, CA 92104-2032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 52947 | CA | Yes |

## Other

- **Enumeration date:** 03/01/2017
- **Last updated:** 03/01/2017