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WALGREEN CO NPI 1053581934


NPI Information

NPI: 1053581934
Provider Name: WALGREEN CO

Doing Business As: WALGREENS # 11627

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 26D2038832

Address:
3800 ELM ST.
ST. CHARLES, MO
ZIP 63301
Phone: (636) 724-6628
Get Directions

WALGREEN CO is a pharmacy in St. Charles, MO. 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 1053581934. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens # 11627.

The provider's business location address is:

3800 ELM ST.
ST. CHARLES, MO
ZIP 63301-368
Phone: (636) 724-6628

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 26D2038832 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/6/2008 and was last updated on 4/5/2019.


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
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacy2088017269MISSOURIYes

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
1606385201MEDICAIDMISSOURI
22637936OTHERMISSOURINCPDP

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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