Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KRUTIK J PATEK (PHARMACIST)
(732) 692-3008
Entity
Organization
Contact information
Practice address
1525 W KEARNY, SPRINGFIELD, MO 65803
(417) 862-4099
Mailing address
1950 S SCENIC AVE, APT # H 308, SPRINGFIELD, MO 65807
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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