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Organization

WALGREEN CO.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JORG RICHARD LARGENT JR. RPH (STAFF PHARMAICST)
(770) 509-5629
Entity
Organization

Contact information

Practice address
3033 JOHNSON FERRY RD, MARIETTA, GA 30062-5678
(770) 518-4263
(770) 518-6608
Mailing address
3033 JOHNSON FERRY RD, MARIETTA, GA 30062-5678
(770) 518-4263
(770) 518-6608

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
021043
GA

Other

Enumeration date
11/10/2011
Last updated
11/10/2011
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