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WALGREEN CO NPI 1174539563


NPI Information

NPI: 1174539563
Provider Name: WALGREEN CO

Doing Business As: WALGREENS #03778

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 10D2012372

Address:
1801 GULF TO BAY BLVD
CLEARWATER, FL
ZIP 33765
Phone: (727) 441-8694
Get Directions

WALGREEN CO is a pharmacy in Clearwater, FL. 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 1174539563. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens #03778.

The provider's business location address is:

1801 GULF TO BAY BLVD
CLEARWATER, FL
ZIP 33765-413
Phone: (727) 441-8694

The provider's authorized official is Lisa Badgley .
The authorized official title is Senior Vice President and has the following contact phone number (847) 315-3012.

The CLIA number assigned to this NPI record is 10D2012372 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 3/11/2022.


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
3333600000XPharmacy0008423FLORIDAYes

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
1105162801 DMEMEDICAIDFLORIDA
21047857OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
3105162800MEDICAIDFLORIDA

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

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.