Walgreens
Organization Active NPI Health Maintenance Organization · Dover, FL
NPI 1689944381 · NPPES record last updated Jan 11, 2012
Key facts
- NPI
- 1689944381
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Maintenance Organization 302R00000X
- License
- PS39400 (FL)
- Legal business name
- WALGREENS
- Practice address
- 13213 Shady Stables Lane
Dover, FL 33527 - Phone
- (813) 215-9855
- NPI assigned
- Jan 11, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Dwayne Jones Sr., PHARM D
- Title
- Pharmacist
- Phone
- (813) 215-9855
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | PS39400 | FL | Yes |
Addresses
Primary practice location
13213 Shady Stables Lane
Dover, FL 33527
Mailing address
13213 Shady Stables LN
Dover, FL 33527-4761
Phone (813) 215-9855
Other names
- Consultant Pharmacist
Other providers in Dover, FL
- Superior Speech Therapy Services, LLC
- Pretty Thomas
- Pedro Torres-Fernandez
- Betsabeth L Treyes
- Barbara Ann Wade
- Brenda Renee Wallace
- Adrienne Mee-Ling Watson
- Welllife Medical Corp.
All providers in Dover, FL · Health Maintenance Organization in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.