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Organization
WALGREENS
Active
Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT DIVENEY PHARM-D (PHARMACY SUPERVISOR)
(847) 465-0975
Entity
Organization
Contact information
Practice address
21 RAND ROAD, DES PLAINES, IL 60016-7529
(847) 296-6457
Mailing address
21 RAND ROAD, DES PLAINES, IL 60016-7529
(847) 296-6457
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051033685
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
361924025690
—
IL
Enumeration date
09/10/2011
Last updated
09/10/2011
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