Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG WASSON (CEO)
(951) 685-0139
Entity
Organization
Contact information
Practice address
8044 LIMONITE AVE, RIVERSIDE, CA 92509-6107
(951) 685-0139
(951) 685-0154
Mailing address
8044 LIMONITE AVE, RIVERSIDE, CA 92509-6107
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
51906
CA
Other
Enumeration date
12/03/2011
Last updated
12/03/2011
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