Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYIA M XIONG RPH (PHARMACIST)
(651) 487-3319
Entity
Organization
Contact information
Practice address
99 MARYLAND AVE W, SAINT PAUL, MN 55117-4528
(651) 487-3319
Mailing address
475 NORTH ST, SAINT PAUL, MN 55130-4418
(651) 757-5248
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
260525
MN
302R00000X
Health Maintenance Organization
302R00000X
MN
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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