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WALGREEN CO NPI 1215942321


NPI Information

NPI: 1215942321
Provider Name: WALGREEN CO

Doing Business As: WALGREENS #09257

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
613 NORTHSIDE DR E
STATESBORO, GA
ZIP 30458
Phone: (912) 489-3030
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WALGREEN CO is a pharmacy in Statesboro, GA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. WALGREEN CO NPI is 1215942321. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens #09257.

The provider's business location address is:

613 NORTHSIDE DR E
STATESBORO, GA
ZIP 30458-194
Phone: (912) 489-3030

The provider's authorized official is Kira L Taylor .
The authorized official title is Manager and has the following contact phone number (217) 709-2351.

The enumeration date for this NPI number is 7/29/2006 and was last updated on 6/10/2022.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacyPHRE008965GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11153193OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2805667165AMEDICAIDGEORGIA

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

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