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Organization
WALGREENS
Active
Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WAGNER (PRESIDENT)
(973) 376-7724
Entity
Organization
Contact information
Practice address
2933 VAUXHALL RD, VAUXHALL, NJ 07088-1260
(908) 378-1101
Mailing address
25 HIGHPOINT DR, EDISON, NJ 08820-2758
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RJ00575
NJ
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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