# WALGREENS

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

## Provider details

- **NPI number:** 1912349085
- **Authorized official:** MR. ANDREW WAYNE ANDERSON (STORE MANAGER)
- **Authorized official phone:** (951) 688-4154

## Contact information

- **Practice address:** 10992 MAGNOLIA AVE, RIVERSIDE, CA 92505-3045
- **Practice address phone:** (951) 688-4154
- **Practice address fax:** (951) 688-5537
- **Mailing address:** 10992 MAGNOLIA AVE, RIVERSIDE, CA 92505-3045
- **Mailing address phone:** (951) 688-4154
- **Mailing address fax:** (951) 688-5537

## Taxonomy

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

## Other

- **Enumeration date:** 07/18/2013
- **Last updated:** 07/18/2013