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WALGREEN CO NPI 1114933850


NPI Information

NPI: 1114933850
Provider Name: WALGREEN CO

Doing Business As: WALGREENS #01451

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 07D2205634

Address:
1083 BOSTON POST RD
MILFORD, CT
ZIP 06460
Phone: (203) 878-7265
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WALGREEN CO is a community/retail pharmacy pharmacy in Milford, CT. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. WALGREEN CO NPI is 1114933850. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens #01451.

The provider's business location address is:

1083 BOSTON POST RD
MILFORD, CT
ZIP 06460-550
Phone: (203) 878-7265

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 CLIA number assigned to this NPI record is 07D2205634 - other - covid testing site with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/1/2006 and was last updated on 10/30/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacy1950CONNECTICUTNo
33336C0003XPharmacyCommunity/Retail PharmacyYes

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
1004249216MEDICAIDCONNECTICUT
20720094OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
3004249208 DMEMEDICAIDCONNECTICUT

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: 4/28/2024

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