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WALGREEN CO NPI 1346254257


NPI Information

NPI: 1346254257
Provider Name: WALGREEN CO

Doing Business As: WALGREENS #09486

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
18296 COLLIER AVE
LAKE ELSINORE, CA
ZIP 92530
Phone: (951) 471-2132
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WALGREEN CO is a pharmacy in Lake Elsinore, 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 1346254257. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens #09486.

The provider's business location address is:

18296 COLLIER AVE
LAKE ELSINORE, CA
ZIP 92530-754
Phone: (951) 471-2132

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 enumeration date for this NPI number is 7/28/2006 and was last updated on 10/26/2023.


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
13336C0003XPharmacyCommunity/Retail PharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3333600000XPharmacyPHY48183CALIFORNIAYes

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
11346254257MEDICAIDCALIFORNIA
2PHA481830MEDICAIDCALIFORNIA
35622546OTHERNCPDP

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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