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Organization
WALGREENS
Active
Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CHARLES KISTNER (PHARMACIST)
(760) 949-8930
Entity
Organization
Contact information
Practice address
13655 BEAR VALLEY RD, VICTORVILLE, CA 92392-8521
(760) 949-8930
Mailing address
13655 BEAR VALLEY RD, VICTORVILLE, CA 92392-8521
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
63864
CA
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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