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WALGREEN CO NPI 1174862858


NPI Information

NPI: 1174862858
Provider Name: WALGREEN CO

Doing Business As: WALGREENS #11535

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 10D2217632

Address:
3501 UNIQUE CIR
FORT MYERS, FL
ZIP 33908
Phone: (239) 271-3924
Get Directions

WALGREEN CO is a pharmacy in Fort Myers, 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 1174862858. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens #11535.

The provider's business location address is:

3501 UNIQUE CIR
FORT MYERS, FL
ZIP 33908-711
Phone: (239) 271-3924

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 10D2217632 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/31/2013 and was last updated on 4/19/2019.


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
3333600000XPharmacyPH26778FLORIDAYes

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
15713361OTHERFLORIDANCPDP
2008981300MEDICAIDFLORIDA
3008981301MEDICAIDFLORIDA

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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