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WALGREEN CO NPI 1265448708


NPI Information

NPI: 1265448708
Provider Name: WALGREEN CO

Doing Business As: WALGREENS #04324

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 10D2013715

Address:
15911 PINES BLVD
PEMBROKE PINES, FL
ZIP 33027
Phone: (954) 450-8896
Get Directions

WALGREEN CO is a pharmacy in Pembroke Pines, 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 1265448708. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens #04324.

The provider's business location address is:

15911 PINES BLVD
PEMBROKE PINES, FL
ZIP 33027-201
Phone: (954) 450-8896

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 10D2013715 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/1/2006 and was last updated on 5/4/2018.


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
2333600000XPharmacyPH0015913FLORIDAYes
33336C0003XPharmacyCommunity/Retail PharmacyNo

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
1106349901 DMEMEDICAIDFLORIDA
2106349900MEDICAIDFLORIDA
31081974OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

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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