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Organization
WALGREENS
Active
Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN WAYNE GASPER RPH (PHARMACY MANAGER)
(417) 862-5392
Entity
Organization
Contact information
Practice address
1155 E SAINT LOUIS ST, SPRINGFIELD, MO 65806-2527
(417) 862-5302
Mailing address
1155 E SAINT LOUIS ST, SPRINGFIELD, MO 65806-2527
(417) 862-5302
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
41094
MO
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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