Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ROBERTSON (STORE MANAGER)
(541) 889-6288
Entity
Organization
Contact information
Practice address
65 SE GOODFELLOW ST, ONTARIO, OR 97914-3016
(541) 889-6288
Mailing address
65 SE GOODFELLOW ST, ONTARIO, OR 97914-3016
(541) 889-6288
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11562
OR
183500000X
Pharmacist
17778
NV
183500000X
Pharmacist
27850
MT
183500000X
Pharmacist
29779
TX
183500000X
Pharmacist
P4856
ID
183500000X
Pharmacist
RP00006714
NM
Other
Enumeration date
07/24/2015
Last updated
07/24/2015
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