Organization
WALGREENS
Active
Other names
Walgreens
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK STEPHEN MCCALL (PHARMACIST)
(937) 478-5506
Entity
Organization
Contact information
Practice address
1001 W STATE ST, TRENTON, OH 45067-1585
(513) 737-3504
Mailing address
1663 OLD STATE ROUTE 122, LEBANON, OH 45036-9499
(937) 478-5506
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
03315609
OH
305S00000X
Point of Service
03315609
OH
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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