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Walgreens

Health Maintenance Organization in Saint Paul, MN. Organization (NPI-2).

NPI number1871879676
StatusActive
Last updated in NPPESOct 25, 2011

Details

NPI
1871879676
Entity type
Organization (NPI-2)
Legal business name
Walgreens
Organization subpart
No
Enumeration date
Oct 25, 2011
Last updated
Oct 25, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
302R00000X Health Maintenance Organization260525MNYes
302R00000X Health Maintenance Organization302R00000XMN

Practice location

99 Maryland Ave W
Saint Paul, MN 55117-4528

Phone 651-487-3319

Mailing address

475 North St
Saint Paul, MN 55130-4418

Phone 651-757-5248

Authorized official

Myia M Xiong
Pharmacist
6514873319

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