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WALGREEN CO NPI 1174606586


NPI Information

NPI: 1174606586
Provider Name: WALGREEN CO

Doing Business As: WALGREENS #15830

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1401 E HARDING AVE
PINE BLUFF, AR
ZIP 71601
Phone: (870) 536-7140
Get Directions

WALGREEN CO is a community/retail pharmacy pharmacy in Pine Bluff, AR. 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 1174606586. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens #15830.

The provider's business location address is:

1401 E HARDING AVE
PINE BLUFF, AR
ZIP 71601-167
Phone: (870) 536-7140
Fax: (870) 536-6513

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 enumeration date for this NPI number is 10/23/2006 and was last updated on 6/15/2018.


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 SuppliesAR09676ARKANSASNo
2333600000XPharmacyAR09676ARKANSASNo
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
1136452716OTHERARKANSASMEDICAID DME
210619OTHERARKANSASMEDICAID FLU
3100845407MEDICAIDARKANSAS
40409676OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

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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