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Organization
WALGREENS
Active
Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISRAEL GAMBOA PHARM.D. (PHARMACIST IN CHARGE)
(806) 468-8616
Entity
Organization
Contact information
Practice address
4524 TUTBURY CT, AMARILLO, TX 79119-6514
(806) 290-0226
Mailing address
4524 TUTBURY CT, AMARILLO, TX 79119-6514
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
56865
TX
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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