Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE WASSON (CEO)
(860) 657-8014
Entity
Organization
Contact information
Practice address
157 MAIN ST, EAST HAVEN, CT 06512-2525
(203) 468-9732
(203) 468-9795
Mailing address
157 MAIN ST, EAST HAVEN, CT 06512-2525
(203) 468-9732
(203) 468-9795
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
0011421
CT
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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