Organization
WALGREEN CO./ILL.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROMAN KRUGLYANSKIY PHARMD (PHARMACIST)
(410) 290-1054
Entity
Organization
Contact information
Practice address
7165 COLUMBIA GATEWAY DR, COLUMBIA, MD 21046-2539
(410) 290-1054
Mailing address
7165 COLUMBIA GATEWAY DR, COLUMBIA, MD 21046-2539
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
21604
MD
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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