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WALGREEN CO NPI 1710992730


NPI Information

NPI: 1710992730
Provider Name: WALGREEN CO

Doing Business As: WALGREENS #03637

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 45D0995528

Address:
5702 WEBER RD
CORPUS CHRISTI, TX
ZIP 78413
Phone: (361) 855-4440
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WALGREEN CO is a pharmacy in Corpus Christi, TX. 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 1710992730. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens #03637.

The provider's business location address is:

5702 WEBER RD
CORPUS CHRISTI, TX
ZIP 78413-965
Phone: (361) 855-4440
Fax: (361) 855-4211

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

The CLIA number assigned to this NPI record is 45D0995528 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/29/2006 and was last updated on 11/1/2023.


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
13336C0003XPharmacyCommunity/Retail PharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3333600000XPharmacy16945TEXASYes

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
14596334OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2469025MEDICAIDTEXAS
3463872MEDICAIDTEXAS

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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