Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ROTH (PHARMACY MANAGER)
(863) 676-9496
Entity
Organization
Contact information
Practice address
1903 STATE ROAD 60 E, LAKE WALES, FL 33853-4329
(863) 676-9496
Mailing address
1903 STATE ROAD 60 E, LAKE WALES, FL 33853-4329
(863) 676-9496
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PS44826
FL
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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