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WALGREEN CO NPI 1124198221


NPI Information

NPI: 1124198221
Provider Name: WALGREEN CO

Doing Business As: WALGREENS #10365

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
308 S MAIN ST
MALVERN, AR
ZIP 72104
Phone: (501) 467-8197
Get Directions

WALGREEN CO is a pharmacy in Malvern, AR. 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 1124198221. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens #10365.

The provider's business location address is:

308 S MAIN ST
MALVERN, AR
ZIP 72104-737
Phone: (501) 467-8197
Fax: (501) 467-8662

The provider's authorized official is Lisa Badgley .
The authorized official title is Senior Vice President and has the following contact phone number (847) 315-3012.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 3/7/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacyAR20551ARKANSASYes

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
10422561OTHERNCPDP
2162153407MEDICAIDARKANSAS
3162515716 DMEMEDICAIDARKANSAS

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

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