Walgreens 11079

NPI 1023455383 - Clinic/Center - 261QC1500X

NPI Details
NPI 1023455383
Enumeration Date 05/28/2013
Last Updated 05/28/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JON JON
Position MARKET PHARMACY DIRECTOR
Phone (302) 907-1010
Fax (302) 907-1006
Practice Location
38627 BENRO DR
DELMAR DE, 19940-3572, US
Phone (302) 907-1010
Fax (302) 907-1006
Business Location
200 WILMOT RD
DEERFIELD IL, 60015-4620, US
Phone (302) 366-0335
Fax (302) 453-3168
Toxanomy
Taxonomy Code 261QC1500X
License State Delaware
License Number 380101061159913
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According to our database, Walgreens 11079 NPI is 1023455383, taxonomy code is 261QC1500X and license number is 380101061159913, license state is located at Delaware. Walgreens 11079 physically located at 38627 Benro Dr, Delmar DE, 19940-3572. NPI Number 1033115704 has the healthcare provider type.

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1023455383 NPI number is provided on an as is basis without warranty of any kind. 1023455383 is maintained by the National Plan & Provider Enumeration System. The contents of Walgreens 11079 are for informational purposes only.