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Organization
WALGREENS
Active
Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF BAKER (STORE MANAGER)
(770) 535-3750
Entity
Organization
Contact information
Practice address
472 S ENOTA DR NE, GAINESVILLE, GA 30501-2548
(770) 535-3750
Mailing address
472 S ENOTA DR NE, GAINESVILLE, GA 30501-2548
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
BW9581984
GA
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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