Organization
WALGREENS PHARMACY
Active
Organization
WALGREENS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANNE LODGE PHARMACIST (PHARMACY MANAGER)
(901) 327-4483
Entity
Organization
Contact information
Practice address
3502 SUMMER AVE, MEMPHIS, TN 38122-3628
(901) 327-4483
Mailing address
3502 SUMMER AVE, MEMPHIS, TN 38122-3628
(901) 327-4483
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0000004043
TN
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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