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WALGREENS NPI 1235441494


NPI Information

NPI: 1235441494
Provider Name: WALGREENS

Former Legal Business Name: WALGREENS

Classification: Point of Service - 305S00000X
Entity Type: Organization

CLIA Number: 11D2034607

Address:
804 N TIBBS RD APT 42
DALTON, GA
ZIP 30720
Phone: (240) 723-2375
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WALGREENS is a point of service in Dalton, GA. 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. WALGREENS NPI is 1235441494. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Walgreens.

The provider's business location address is:

804 N TIBBS RD APT 42
DALTON, GA
ZIP 30720-952
Phone: (240) 723-2375

The provider's authorized official is Nita R Patel .
The authorized official title is Staff Pharmacist and has the following contact phone number (706) 428-9003.

The CLIA number assigned to this NPI record is 11D2034607 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/4/2010 and was last updated on 7/4/2010.


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 ServiceRPH023013GEORGIAYes

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: 5/5/2024

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