Organization
WALGREENS
Active
Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIE GENICOT (DISTRICT MANAGER)
(858) 647-4847
Entity
Organization
Contact information
Practice address
10787 CAMINO RUIZ, SAN DIEGO, CA 92126-2304
(858) 437-0762
Mailing address
4152 32ND ST, APT 11, SAN DIEGO, CA 92104-2032
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
52947
CA
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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