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WALGREEN CO NPI 1720519747


NPI Information

NPI: 1720519747
Provider Name: WALGREEN CO

Doing Business As: COMMUNITY A WALGREENS PHARMACY #16545

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
1200 JOHN BARROW RD
STE 102
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 478-2655
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WALGREEN CO is a pharmacy in Little Rock, AR. 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 1720519747. The provider is registered as an organization entity type.
The provider Is Doing Business As Community A Walgreens Pharmacy #16545.

The provider's business location address is:

1200 JOHN BARROW RD
STE 102
LITTLE ROCK, AR
ZIP 72205-528
Phone: (501) 478-2655

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 3/22/2017 and was last updated on 3/28/2019.


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
2333600000XPharmacyAR208961ARKANSASYes
33336C0003XPharmacyCommunity/Retail 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
10282938917OTHERARKANSASMEDICARE
20425909OTHERARKANSASNCPDP
3221140407MEDICAIDARKANSAS

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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