Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRTI GUPTA (PHARMACIST)
(267) 258-3445
Entity
Organization
Contact information
Practice address
4001 KENSINGTON AVE, PHILADELPHIA, PA 19124-4408
(215) 537-2304
Mailing address
901 N PENN ST, UNIT F903, PHILADELPHIA, PA 19123-3132
(267) 258-3445
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
RP1003187
PA
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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