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Organization

WALGREENS

Active
Other names
Consultant Pharmacist
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DWAYNE JONES SR. PHARM D (PHARMACIST)
(813) 215-9855
Entity
Organization

Contact information

Practice address
13213 SHADY STABLES LANE, DOVER, FL 33527
(813) 215-9855
Mailing address
13213 SHADY STABLES LN, DOVER, FL 33527-4761
(813) 215-9855

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
PS39400
FL

Other

Enumeration date
01/11/2012
Last updated
01/11/2012
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