Organization Name: | WALGREENS |
NPI Number: | 1023393543 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PEGGY ANN LUCAS (PHARMACIST) |
Mailing Address: | 119 Forks Of The River Pkwy Sevierville |
State: | TN US |
Postal Code: | 378623435 |
Phone Number: | 8659088755 |
Fax Number: | 8659088771 |
NPI Enumeration Date: | 10/16/2011 |
NPI Last Update Date: | 10/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QC1500X |
License Number: | 35747 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |