Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ERSBERGER RPH (DISTRICT MANAGER)
(269) 271-7365
Entity
Organization
Contact information
Practice address
5933 S WESTNEDGE AVE, PORTAGE, MI 49002-1455
(269) 381-4862
Mailing address
5933 S WESTNEDGE AVE, PORTAGE, MI 49002-1455
(269) 381-4862
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5302042983
MI
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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