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WALGREEN CO NPI 1053673947


NPI Information

NPI: 1053673947
Provider Name: WALGREEN CO

Doing Business As: WALGREENS # 11313

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 31D2052143

Address:
2021 NOTTINGHAM WAY
HAMILTON, NJ
ZIP 08619
Phone: (609) 587-1059
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WALGREEN CO is a pharmacy in Hamilton, NJ. 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 1053673947. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens # 11313.

The provider's business location address is:

2021 NOTTINGHAM WAY
HAMILTON, NJ
ZIP 08619
Phone: (609) 587-1059

The provider's authorized official is Alyssa Sweeten .
The authorized official title is Manager and has the following contact phone number (217) 709-2386.

The CLIA number assigned to this NPI record is 31D2052143 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/15/2012 and was last updated on 12/6/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacy28RS00720800NEW JERSEYYes
33336C0003XPharmacyCommunity/Retail PharmacyNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10323934MEDICAIDNEW JERSEY
23198822OTHERNCPDP

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.