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WALGREEN CO NPI 1396094801


NPI Information

NPI: 1396094801
Provider Name: WALGREEN CO

Doing Business As: WALGREENS #13925

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 19D2066198

Address:
5298 HIGHLAND RD
BATON ROUGE, LA
ZIP 70808
Phone: (225) 767-7003
Get Directions

WALGREEN CO is a pharmacy in Baton Rouge, LA. 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 1396094801. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens #13925.

The provider's business location address is:

5298 HIGHLAND RD
BATON ROUGE, LA
ZIP 70808-530
Phone: (225) 767-7003
Fax: (225) 767-7048

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 CLIA number assigned to this NPI record is 19D2066198 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2012 and was last updated on 4/14/2022.


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
13336C0003XPharmacyCommunity/Retail PharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3333600000XPharmacyPHY.006621LOUISIANAYes

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
12201743MEDICAIDLOUISIANA
21936509OTHERLOUISIANANCPDP

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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