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WALGREEN CO NPI 1710060124


NPI Information

NPI: 1710060124
Provider Name: WALGREEN CO

Doing Business As: WALGREENS #15852

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 04D2230002

Address:
1328 RED WOLF BLVD
JONESBORO, AR
ZIP 72401
Phone: (870) 935-2242
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WALGREEN CO is a community/retail pharmacy pharmacy in Jonesboro, 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 1710060124. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens #15852.

The provider's business location address is:

1328 RED WOLF BLVD
JONESBORO, AR
ZIP 72401-578
Phone: (870) 935-2242

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 04D2230002 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 5/3/2018.


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 SuppliesAR20094ARKANSASNo
2333600000XPharmacyAR20094ARKANSASNo
33336C0003XPharmacyCommunity/Retail PharmacyYes
43336L0003XPharmacyLong Term Care PharmacyNo

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
1135608716OTHERARKANSASMEDICAID DME
2133638407MEDICAIDARKANSAS
30403751OTHEROTHER 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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