WALGREEN NPI 1083996896

NPI Information

  • NPI: 1083996896
  • Provider Name: WALGREEN
  • Classification: Point of Service - 305S00000X
  • Entity Type: Organization
  • Address: 690 MATRIN LUTHER KING BLVD N
    PONTIAC, MI
    ZIP 48342
  • Phone: (248) 745-8495

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NPI Details

WALGREEN is a point of service in Pontiac, MI. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. WALGREEN NPI is 1083996896. The provider is registered as an organization entity type.

The provider's business location address is:

690 MATRIN LUTHER KING BLVD N
PONTIAC, MI
ZIP 48342-626
Phone: (248) 745-8495
Fax: (248) 745-8367

The provider's authorized official is Neil Brown .
The authorized official title is Pharmacist and has the following contact phone number (248) 745-8495.

The enumeration date for this NPI number is 9/16/2011 and was last updated on 9/16/2011.

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
1305S00000XPoint of Service5302017458MICHIGANYes

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: 11/21/2025

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