Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADEZHDA DALLIER (PHARMACIST)
(813) 873-1735
Entity
Organization
Contact information
Practice address
4651 W KENNEDY BLVD, TAMPA, FL 33609-2519
(813) 286-1366
Mailing address
4651 W KENNEDY BLVD, TAMPA, FL 33609-2519
(813) 286-1366
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PS49867
FL
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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