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WALGREEN CO NPI 1376068643


NPI Information

NPI: 1376068643
Provider Name: WALGREEN CO

Doing Business As: WALGREENS #17567

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
197 MAIN ST
GREAT BARRINGTON, MA
ZIP 01230
Phone: (413) 528-2424
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WALGREEN CO is a pharmacy in Great Barrington, MA. 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 1376068643. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens #17567.

The provider's business location address is:

197 MAIN ST
GREAT BARRINGTON, MA
ZIP 01230-602
Phone: (413) 528-2424
Fax: (413) 528-5605

The provider's authorized official is Kira Taylor .
The authorized official title is Manager and has the following contact phone number (217) 709-2351.

The enumeration date for this NPI number is 8/8/2017 and was last updated on 5/13/2022.


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
3333600000XPharmacyDS90210MASSACHUSETTSYes

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
10442895MEDICAIDMASSACHUSETTS

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: 4/28/2024

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