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WALGREEN CO NPI 1407863483


NPI Information

NPI: 1407863483
Provider Name: WALGREEN CO

Doing Business As: WALGREENS #7631

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
720 W CHICAGO AVE
EAST CHICAGO, IN
ZIP 46312
Phone: (219) 397-6208
Get Directions

WALGREEN CO is a pharmacy in East Chicago, IN. 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 1407863483. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens #7631.

The provider's business location address is:

720 W CHICAGO AVE
EAST CHICAGO, IN
ZIP 46312-222
Phone: (219) 397-6208
Fax: (219) 378-1330

The provider's authorized official is Alan T Nielsen .
The authorized official title is Treasurer and has the following contact phone number (847) 315-3523.

The enumeration date for this NPI number is 8/2/2006 and was last updated on 12/28/2015.


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
3333600000XPharmacy60001152AINDIANAYes

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
1100307890A DMEMEDICAIDINDIANA
2PHC049MEDICARE PIN
3P00400633MEDICARE PIN
41518844OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
5100307890MEDICAIDINDIANA
60282930245MEDICARE NSCINDIANA
7=========322MEDICAIDILLINOIS

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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