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Organization
WALGREENS
Active
Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MARRAFFA PHARMD (DISTRICT MANAGER)
13154572531
Entity
Organization
Contact information
Practice address
40 PIERREPONT AVE APT 2, POTSDAM, NY 13676-2092
(131) 532-3100
Mailing address
40 PIERREPONT AVE, APT #2, POTSDAM, NY 13676
(131) 532-3100
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
20056453
NY
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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