Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS NAGLE (STORE MANAGER)
(386) 328-6787
Entity
Organization
Contact information
Practice address
719 S STATE ROAD 19, PALATKA, FL 32177-3946
(386) 328-6787
Mailing address
719 S STATE ROAD 19, PALATKA, FL 32177-3946
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RPT38478
FL
Other
Enumeration date
07/01/2012
Last updated
07/01/2012
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