Provider Demographics
NPI:1073809711
Name:WALGREENS PHARMACEUTICAL INC
Entity Type:Organization
Organization Name:WALGREENS PHARMACEUTICAL INC
Other - Org Name:DUNAMIS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DELPHINA
Authorized Official - Middle Name:CHIKAMELE
Authorized Official - Last Name:AMUNEKE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:409-350-8167
Mailing Address - Street 1:6611 CHIMNEY ROCK RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-5356
Mailing Address - Country:US
Mailing Address - Phone:713-661-3600
Mailing Address - Fax:713-661-3601
Practice Address - Street 1:6611 CHIMNEY ROCK RD
Practice Address - Street 2:SUITE 2
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-5356
Practice Address - Country:US
Practice Address - Phone:713-661-3600
Practice Address - Fax:713-661-3601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-21
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy