Organization
WALGREEN CO./ILL.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD JOLLEY PHARM D (PHARMACIST)
(801) 982-1912
Entity
Organization
Contact information
Practice address
4040 W 5415 S, SALT LAKE CITY, UT 84118-4308
(801) 982-1912
Mailing address
200 WILMOT RD, DEERFIELD, IL 60015-4620
(801) 982-1912
(801) 982-1932
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
9691412-1701
UT
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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