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Organization

WALGREENS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. VALERIE JEANNE CORL (CERTIFIED PHARMACY TECHNICIAN)
(941) 276-2003
Entity
Organization

Contact information

Practice address
719 SOUTH STATE ROAD 19, PALATKA, FL 32177
(386) 328-6787
Mailing address
719 SOUTH STATE ROAD 19, PALATKA, FL 32177
(386) 328-6787

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RTP6913
FL

Other

Enumeration date
09/11/2012
Last updated
09/11/2012
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