Walgreen

NPI #1932483484 in Columbia, Missouri

Provider Information

NPI Number: 1932483484
Entity Type: Organization
Organization Name: Walgreen
Primary Specialty: Pharmacy
Enumeration Date: Oct 3, 2011
Last Updated: Oct 3, 2011

Practice Location

Address: 1000 CLUB VILLAGE DR
City: Columbia
State: Missouri
ZIP Code: 65203-4405
Phone: (573) 449-8330

Authorized Official

Name: RICHARD ANDERSON
Title: PHARMACY MANAGER
Phone: (573) 449-8330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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