# WALGREENS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629477419
- **Authorized official:** BRIGID WENDLE (PHARMACY MANAGER)
- **Authorized official phone:** (417) 863-6416

## Contact information

- **Practice address:** 1930 W GRAND ST, SPRINGFIELD, MO 65802-4870
- **Practice address phone:** (417) 863-6416
- **Mailing address:** 5611 N 6TH AVE, OZARK, MO 65721-4239
- **Mailing address phone:** (618) 978-3323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/18/2014
- **Last updated:** 08/18/2014