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WALGREEN CO NPI 1326363995


NPI Information

NPI: 1326363995
Provider Name: WALGREEN CO

Doing Business As: WALGREENS #13584

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
155 NORTHGATE ONE
SAN RAFAEL, CA
ZIP 94903
Phone: (415) 479-2260
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WALGREEN CO is a pharmacy in San Rafael, CA. 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 1326363995. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens #13584.

The provider's business location address is:

155 NORTHGATE ONE
SAN RAFAEL, CA
ZIP 94903-417
Phone: (415) 479-2260
Fax: (415) 479-2458

The provider's authorized official is Kira Taylor .
The authorized official title is Manager and has the following contact phone number (217) 709-2351.

The enumeration date for this NPI number is 4/7/2010 and was last updated on 4/12/2022.


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
13336C0003XPharmacyCommunity/Retail PharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
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
15637698OTHERNCPDP
21326363995MEDICAIDCALIFORNIA

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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