Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANIEL WILSON (PHAMACIST)
(901) 201-9898
Entity
Organization
Contact information
Practice address
6770 MACON RD, MEMPHIS, TN 38134-7542
(901) 371-0255
(901) 371-9604
Mailing address
6770 MACON RD, MEMPHIS, TN 38134-7542
(901) 371-0255
(901) 371-9604
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
12154
TN
Other
Enumeration date
07/14/2010
Last updated
07/14/2010
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