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Organization
WALGREEN
Active
Organization
WALGREEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ANDERSON (PHARMACY MANAGER)
(573) 449-8330
Entity
Organization
Contact information
Practice address
1000 CLUB VILLAGE DR, COLUMBIA, MO 65203-4405
(573) 449-8330
Mailing address
1000 CLUB VILLAGE DR, COLUMBIA, MO 65203-4405
(573) 449-8330
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2007026743
MO
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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