Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY SUMMERS (PHARMACY MANAGER)
(812) 277-9375
Entity
Organization
Contact information
Practice address
1215 16TH ST, BEDFORD, IN 47421-3706
(812) 277-9375
Mailing address
1407 S LINCOLN ST, BLOOMINGTON, IN 47401-5853
(260) 450-2007
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26014833A
IN
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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