Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON SLAASTED (PHARM D.)
(262) 412-4069
Entity
Organization
Contact information
Practice address
3528 S CLEMENT AVE, MILWAUKEE, WI 53207-3502
(262) 412-4069
Mailing address
3528 S CLEMENT AVE, MILWAUKEE, WI 53207-3502
(262) 412-4069
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
18121-40
WI
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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