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Organization
WALGREENS
Active
Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM R MADDOX (PHARMACIST)
(229) 630-0002
Entity
Organization
Contact information
Practice address
1800 BAYTREE RD, VALDOSTA, GA 31602-3552
(229) 242-3212
(229) 242-7842
Mailing address
1800 BAYTREE RD, VALDOSTA, GA 31602-3552
(229) 242-3212
(229) 242-7842
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
009171
GA
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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