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Organization
WALGREENS
Active
Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA CHARLENE HAIRSTON (PHARMACY MANAGER)
(404) 284-9912
Entity
Organization
Contact information
Practice address
2035 CANDLER RD, DECATUR, GA 30032-5508
(404) 284-9912
Mailing address
2035 CANDLER RD, DECATUR, GA 30032-5508
(404) 284-9912
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH019787
GA
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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