Organization
WALGREENS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE TAMER (PHARMACY SUPERVISOR)
(860) 657-9384
Entity
Organization
Contact information
Practice address
148 EASTERN BLVD, SUITE 4, GLASTONBURY, CT 06033-4321
(860) 657-9384
Mailing address
23 THOMAS RD, POUGHQUAG, NY 12570-5232
(845) 206-8505
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PCT.0013159
CT
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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