Organization
WALGREENS
Active
Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON JEROME PHARMD (PHARMACIST)
(407) 230-4972
Entity
Organization
Contact information
Practice address
33670 US HIGHWAY 19 N, PALM HARBOR, FL 34684-2640
(727) 785-7643
Mailing address
12672 SILVERDALE ST, TAMPA, FL 33626-2510
(407) 230-4972
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
PS52470
FL
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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