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WALGREEN CO NPI 1922013259


NPI Information

NPI: 1922013259
Provider Name: WALGREEN CO

Doing Business As: WALGREENS #05702

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 05D2286456

Address:
934 N HACIENDA BLVD
LA PUENTE, CA
ZIP 91744
Phone: (626) 934-1926
Get Directions

WALGREEN CO is a pharmacy in La Puente, 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 1922013259. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens #05702.

The provider's business location address is:

934 N HACIENDA BLVD
LA PUENTE, CA
ZIP 91744-845
Phone: (626) 934-1926
Fax: (626) 934-1936

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 CLIA number assigned to this NPI record is 05D2286456 - other - health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/29/2006 and was last updated on 4/28/2022.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacyPHY43603CALIFORNIAYes

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
10580034OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2PHA436030MEDICAIDCALIFORNIA
31922013259MEDICAIDCALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.