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WALGREEN CO NPI 1255850194


NPI Information

NPI: 1255850194
Provider Name: WALGREEN CO

Doing Business As: WALGREENS #17092

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 19D2229735

Address:
1214 GRAND CAILLOU RD
HOUMA, LA
ZIP 70363
Phone: (985) 873-3612
Get Directions

WALGREEN CO is a pharmacy in Houma, LA. 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 1255850194. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens #17092.

The provider's business location address is:

1214 GRAND CAILLOU RD
HOUMA, LA
ZIP 70363-555
Phone: (985) 873-3612

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 19D2229735 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2017 and was last updated on 9/10/2018.


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 SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacyYes

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
11940558OTHERLOUISIANANCPDP
22206354MEDICAIDLOUISIANA

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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