OrganizationActive
Walgreens
NPI 1689944381 · Health Maintenance Organization · Dover, FL
Provider details
- NPI number
- 1689944381
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Dwayne Jones, Pharmacist(813) 215-9855
- License
- PS39400 (FL)
Specialties & taxonomies
Managed Care Organizations
Practice location
13213 Shady Stables Lane
Dover, FL 33527
Phone: (813) 215-9855
Approximate (ZIP-level) locationGet directions
Mailing address
13213 Shady Stables Ln
Dover, FL 33527-4761
Other names (DBA / former)
- Doing business as
- Consultant Pharmacist
Registry dates
- Enumerated
- 2012-01-11
- Last updated
- 2012-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.