Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SOPHIA SOSA (EXA)
(718) 220-2461
Entity
Organization
Contact information
Practice address
406 E FORDHAM RD, BRONX, NY 10458-5010
(718) 220-2461
Mailing address
406 E FORDHAM RD, BRONX, NY 10458-5010
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
530100064861541
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
530100064861541
PHARMACY TECHNICIAN CERTIFICATION NUMBER
NY
Enumeration date
08/16/2012
Last updated
08/16/2012
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