Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATHEW OWENS PHARM D (PHARMACY MANAGER)
(770) 535-4071
Entity
Organization
Contact information
Practice address
3100 BUGLE DR, DULUTH, GA 30096-3526
(770) 855-0017
Mailing address
3100 BUGLE DR, DULUTH, GA 30096
(770) 855-0017
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
BW9581984
GA
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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