Organization
WALGREENS
Active
Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE DEJESUS RPH (STAFF PHARMACIST)
(813) 752-6192
Entity
Organization
Contact information
Practice address
1802 JIM REDMAN PKWY, PLANT CITY, FL 33563-6914
(813) 752-6192
Mailing address
1802 JIM REDMAN PKWY, PLANT CITY, FL 33563-6914
(813) 752-6192
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PS45210
FL
Other
Enumeration date
12/23/2011
Last updated
12/23/2011
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