# WALGREENS\#2446

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851764740
- **Authorized official:** DR. ROBERTO LICIER PHARM.D. (PHARMACIST)
- **Authorized official phone:** (410) 918-0790

## Contact information

- **Practice address:** 6 SOUTH MARLYN AVE, ESSEX, MD 21221
- **Practice address phone:** (410) 918-0790
- **Practice address fax:** (410) 918-0796
- **Mailing address:** 6 S MARLYN AVE, ESSEX, MD 21221-5021
- **Mailing address phone:** (410) 918-0790
- **Mailing address fax:** (410) 918-0796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 10970 | MD | Yes |

## Other

- **Enumeration date:** 11/02/2015
- **Last updated:** 11/02/2015