Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER DYAN WORTHINGTON PHARM.D. (REGISTERED PHARMACIST)
(816) 805-3529
Entity
Organization
Contact information
Practice address
900 EASTLAND DR, JEFFERSON CITY, MO 65101-3894
(573) 556-5615
Mailing address
900 EASTLAND DR, JEFFERSON CITY, MO 65101-3894
(573) 556-5615
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2014026883
MO
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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