Organization
WALGREENS
Active
Parent organization
WALGREENS
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS
Authorized official
MR. JOSEPH HUMPHREY (PHARMACIST)
(863) 815-3373
Entity
Organization
Contact information
Practice address
6710 OLD POLK CITY RD, LAKELAND, FL 33809
(863) 815-3373
(863) 815-5303
Mailing address
3475 LISMORE DRIVE, LAKELAND, FL 33803
(863) 815-3373
(863) 815-5303
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
PS34554
FL
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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