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Walgreens

Pharmacy, Community/Retail Pharmacy in Minneapolis, MN. Organization (NPI-2).

NPI number1750831723
StatusActive
Last updated in NPPESOct 13, 2016

Details

NPI
1750831723
Entity type
Organization (NPI-2)
Legal business name
Walgreens
Organization subpart
No
Enumeration date
Oct 13, 2016
Last updated
Oct 13, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy123065MNYes

Practice location

2100 Lyndale Ave S
Minneapolis, MN 55405-3686

Phone 612-872-7808

Mailing address

2724 Grand Ave S
Apartment 2
Minneapolis, MN 55408-1407

Phone 636-279-0175

Authorized official

Troy Porter
Pharmacist
6362790175

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