Walgreen

NPI 1083996896 - Point of Service - 305S00000X

NPI Details
NPI 1083996896
Enumeration Date 09/16/2011
Last Updated 09/16/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name NEIL NEIL
Position PHARMACIST
Phone (248) 745-8495
Fax (248) 745-8367
Practice Location
690 MATRIN LUTHER KING BLVD N
PONTIAC MI, 48342-1626, US
Phone (248) 745-8495
Fax (248) 745-8367
Business Location
690 MATRIN LUTHER KINGS BLVD NORTH
PONTIAC MI, 48342-1626, US
Phone (248) 745-8495
Fax (248) 745-8367
Toxanomy
Taxonomy Code 305S00000X
License State Michigan
License Number 5302017458
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According to our database, Walgreen NPI is 1083996896, taxonomy code is 305S00000X and license number is 5302017458, license state is located at Michigan. Walgreen physically located at 690 Matrin Luther King Blvd N, Pontiac MI, 48342-1626. NPI Number 1033115704 has the healthcare provider type.

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1083996896 NPI number is provided on an as is basis without warranty of any kind. 1083996896 is maintained by the National Plan & Provider Enumeration System. The contents of Walgreen are for informational purposes only.