Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT ROBERT BARKE RPH (PHARMACIST)
(781) 941-2690
Entity
Organization
Contact information
Practice address
166 WALNUT ST, SAUGUS, MA 01906-1994
(781) 941-2690
Mailing address
44 CANNON ROCK RD, LYNN, MA 01904-1563
(978) 857-3253
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH20621
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04158801
—
MA
Enumeration date
09/09/2011
Last updated
09/09/2011
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