Organization
WALGREENS
Active
Organization
WALGREENS
Active
Other names
Walgreens
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NITA R PATEL DPHARM (STAFF PHARMACIST)
(706) 428-9003
Entity
Organization
Contact information
Practice address
804 N TIBBS RD APT 42, DALTON, GA 30720-2952
(240) 723-2375
Mailing address
804 N TIBBS RD APT 42, DALTON, GA 30720-2952
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
RPH023013
GA
Other
Enumeration date
07/04/2010
Last updated
07/04/2010
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