Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIGID WENDLE (PHARMACY MANAGER)
(417) 863-6416
Entity
Organization
Contact information
Practice address
1930 W GRAND ST, SPRINGFIELD, MO 65802-4870
(417) 863-6416
Mailing address
5611 N 6TH AVE, OZARK, MO 65721-4239
(618) 978-3323
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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