Organization
WALGREENS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN CLARK SQUIRES PHARMD (PHARMACIST)
(910) 891-1930
Entity
Organization
Contact information
Practice address
1501 W CUMBERLAND ST, DUNN, NC 28334
(910) 891-1930
(910) 891-1936
Mailing address
1501 W CUMBERLAND ST, DUNN, NC 28334-4505
(910) 891-1930
(910) 891-1936
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
26185
NC
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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