Organization
WALGREENS
Active
Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED COLLETTE PHARMD (PHARMACIST)
(316) 218-0818
Entity
Organization
Contact information
Practice address
440 N ANDOVER RD, ANDOVER, KS 67002-9508
(316) 218-0819
Mailing address
440 N ANDOVER RD, ANDOVER, KS 67002-9508
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
KS1-14452
KS
3336C0004X
Compounding Pharmacy
KS1-14452
KS
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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