Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOOKKYUNG MIN (PHARMACIST)
(765) 409-9391
Entity
Organization
Contact information
Practice address
1801 SOUTH ST, LAFAYETTE, IN 47904-2962
(765) 448-1366
Mailing address
1801 SOUTH ST, LAFAYETTE, IN 47904-2962
(765) 448-1366
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26025376A
IN
Other
Enumeration date
02/17/2014
Last updated
02/17/2014
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