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Organization
WALGREENS
Active
Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDY DAVENPORT (DISTRICT PHARMACY SUPERVISOR)
(650) 348-1559
Entity
Organization
Contact information
Practice address
1376 KOOSER RD, SAN JOSE, CA 95118-3813
(408) 448-2503
Mailing address
535 S MARKET ST, APARTMENT 306, SAN JOSE, CA 95113-2841
(314) 922-7141
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
CA
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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