Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN COLLAZZI PHARM D. (DISTRICT MANAGER)
(201) 333-4092
Entity
Organization
Contact information
Practice address
2395 JOHN KENNEDY BLVD, JERSEY CITY, NJ 07304
(201) 333-4092
Mailing address
2395 JOHN KENNEDY BLVD, JERSEY CITY, NJ 07304
(201) 333-4092
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
28RI03666400
NJ
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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