Organization
WALGREENS
Active
Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF VANSCHAACK BS (PHARMACIST)
(757) 472-8580
Entity
Organization
Contact information
Practice address
700 FREDERICK BLVD, PORTSMOUTH, VA 23707-3314
(757) 391-9123
Mailing address
1144 KINGSBURY DR, CHESAPEAKE, VA 23322-4264
(757) 472-8580
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0202204450
VA
3336C0003X
Community/Retail Pharmacy
14803
NC
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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