WALGREENS 11079 NPI 1023455383

NPI Information

NPI: 1023455383
Provider Name: WALGREENS 11079
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
38627 BENRO DR
DELMAR, DE
ZIP 19940
Phone: (302) 907-1010
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WALGREENS 11079 is a community health clinic center in Delmar, DE. WALGREENS 11079 NPI is 1023455383. The provider is registered as an organization entity type.

The provider's business location address is:

38627 BENRO DR
DELMAR, DE
ZIP 19940-572
Phone: (302) 907-1010
Fax: (302) 907-1006

The provider's authorized official is Jon Reitz .
The authorized official title is Market Pharmacy Director and has the following contact phone number (302) 366-0335.

The enumeration date for this NPI number is 5/28/2013 and was last updated on 5/28/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC1500X	Clinic/Center	Community Health	380101061159913	DELAWARE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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