Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KARA DENYSE MENESICK PHARM D. (REGISTERED IMMUNIZING PHARMACIST)
(772) 215-2490
Entity
Organization
Contact information
Practice address
1661 NW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL 34986-2106
(772) 873-1892
Mailing address
2619 NE SABAL PALM WAY, JENSEN BEACH, FL 34957-6509
(772) 215-2490
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PS47625
FL
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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