Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SRILATHA ANUMASU (PHARMACIST)
(386) 586-3830
Entity
Organization
Contact information
Practice address
5000 E HIGHWAY 100, PALM COAST, FL 32164-2363
(386) 586-3830
(386) 586-5606
Mailing address
5000 E HIGHWAY 100, PALM COAST, FL 32164-2363
(386) 586-3830
(386) 586-5606
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PS38551
FL
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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