Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRENCE COLLINS (DISTRICT MANAGER)
(813) 621-6041
Entity
Organization
Contact information
Practice address
25201 WESLEY CHAPEL BLVD, LUTZ, FL 33559-7201
(813) 453-6582
Mailing address
2004 OAK ISLE CT, VALRICO, FL 33594-6758
(813) 453-6582
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PS53078
FL
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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