Provider Demographics
NPI:1215256938
Name:TORRES, RICARDO (WALGREENS)
Entity type:Individual
Prefix:
First Name:RICARDO
Middle Name:
Last Name:TORRES
Suffix:
Gender:M
Credentials:WALGREENS
Other - Prefix:
Other - First Name:RICARDO
Other - Middle Name:
Other - Last Name:TORRES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMACIST
Mailing Address - Street 1:1091 OAKLEAF PLANTATION PKWY
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32065-3623
Mailing Address - Country:US
Mailing Address - Phone:904-282-1137
Mailing Address - Fax:904-282-7655
Practice Address - Street 1:1091 OAKLEAF PLANTATION PKWY
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32065-3623
Practice Address - Country:US
Practice Address - Phone:904-282-1137
Practice Address - Fax:904-282-7655
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-19
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS28826183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist