Organization
WALGREEEN CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANDEL JERMAINE HEARNS PHARM. D (PHARMACIST)
(904) 778-0871
Entity
Organization
Contact information
Practice address
9700 ARGYLE FOREST BLVD, JACKSONVILLE, FL 32222-2809
(904) 778-0871
Mailing address
9700 ARGYLE FOREST BLVD., JACKSONVILLE, FL 32222-7918
(904) 778-0871
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PS33463
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7979
—
FL
Enumeration date
05/25/2010
Last updated
05/25/2010
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