Organization
WALGREENS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ULECIA D BOLDIN PHARM D (PHARMACIST)
(772) 335-4200
Entity
Organization
Contact information
Practice address
1025 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5386
(772) 335-4200
Mailing address
1025 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5386
(772) 335-4200
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PS48022
FL
Other
Enumeration date
09/15/2011
Last updated
07/28/2012
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