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WALGREEN EASTERN CO INC

Managed Care Organization Pharmacy

North Kingstown, Rhode Island

Provider NPI: 1194919597

Organization Information:
Organization Name:  WALGREEN EASTERN CO INC


Practice Location:
100 ROMANO VINEYARD WAY  NORTH KINGSTOWN, RI 02852 US
Tel: 888-578-3457  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N332B00000XSuppliers
Durable Medical Equipment & Medical Supplies
N3336M0003XSuppliers
Pharmacy
Y333600000XSuppliers
Pharmacy
RIPHA00506

Other Provider Identifiers:

IssuerNumberStateType
NCPDP PROVIDER IDENTIFICATION NUMBER410697101
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MANAGED CARE JOBS RI - Page 1



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