Organization
WALGREENS DRUG STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LOUKS RPH (PHARMACY MANAGER)
(317) 351-5973
Entity
Organization
Contact information
Practice address
5460 E WASHINGTON ST, INDIANAPOLIS, IN 46219-6449
(317) 351-5973
(317) 351-8781
Mailing address
5460 E WASHINGTON ST, INDIANAPOLIS, IN 46219-6449
(317) 351-5973
(317) 351-8781
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26015312
IN
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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