Organization
WALGREENS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATISIA BROOKS (PHARMACIST)
(678) 536-4050
Entity
Organization
Contact information
Practice address
6120 OLD NATIONAL HWY, COLLEGE PARK, GA 30349-4367
(678) 536-4050
Mailing address
6120 OLD NATIONAL HWY, COLLEGE PARK, GA 30349-4367
(678) 536-4050
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
8
GA
Other
Enumeration date
09/21/2011
Last updated
07/21/2022
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