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Organization
WALGREENS
Active
Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEKSANDR N FESYUK (PHARMACIST)
(607) 271-9480
Entity
Organization
Contact information
Practice address
402 N MAIN ST, ELMIRA, NY 14901-2104
(607) 271-9480
Mailing address
1530 AFFINITY LN, ROCHESTER, NY 14616-1724
(585) 944-4992
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
058859
NY
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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