NPI 1083996896

Walgreen

Organisation Point of Service Pontiac, MI

Practice location

Address: 690 Matrin Luther King Blvd N, Pontiac, MI 48342-1626
Phone: (248) 745-8495
Fax: (248) 745-8367
Mailing address: 690 Matrin Luther Kings Blvd North, Pontiac, MI 48342-1626

Authorised official

Name: Neil Brown
Title: Pharmacist
Phone: (248) 745-8495

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 5302017458 (MI)

Other Point of Service providers in Michigan →

Registry record

NPI: 1083996896
Entity type: Organization
NPI issued: 16 Sep 2011
Record last updated: 16 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.