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Organization
WALGREENS CO.
Active
Organization
WALGREENS CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIO SOUSA DEMATOS RPH (PHARMACIST)
(516) 376-8780
Entity
Organization
Contact information
Practice address
12 E JERICHO TPKE, MINEOLA, NY 11501-3141
(516) 739-2408
Mailing address
1803 ADLIN CT, EAST MEADOW, NY 11554-1656
(516) 376-8780
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
061846
NY
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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