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Organization

WALGREENS PHARMACY

Active
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Organization

WALGREENS PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. NICHOLAS STANLEY TYMOCHKO PHARMD (PHARMACIST)
(724) 456-1399
Entity
Organization

Contact information

Practice address
5324 E WASHINGTON ST, PHOENIX, AZ 85034-2144
(602) 732-3384
Mailing address
888 N 4TH ST, APT 520, PHOENIX, AZ 85004-2023
(724) 456-1399

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S020662
AZ

Other

Enumeration date
07/23/2014
Last updated
07/23/2014
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