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WALGREEN CO. NPI 1003002254

NPI Profile

NPI: 1003002254
Provider Name: WALGREEN CO.

Doing Business As: WALGREENS #11113

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
5104 BOBBY HICKS HWY
GRAY, TN
ZIP 37615
Get Directions

Phone: (423) 477-3372

WALGREEN CO. is a healthcare provider in Gray, TN.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 1003002254. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens #11113.

The provider's business location address is:

5104 BOBBY HICKS HWY
GRAY, TN
ZIP 37615-217
Phone: (423) 477-3372

The provider's authorized official is Alan T Nielsen .
The authorized official title is Treasurer and has the following contact phone number (847) 315-3523.

The enumeration date for this NPI number is 9/21/2007 and was last updated on 7/25/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacy4444TENNESSEEYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14440664OTHERNCPDP
2P00400633MEDICARE PIN
34440664MEDICAIDTENNESSEE
40282936022MEDICARE NSC
5PHC049MEDICARE PIN

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: 9/8/2019

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.