WALGREEN CO NPI 1407039159

NPI Information

WALGREEN CO is a pharmacy in Springfield, IL. 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 1407039159. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens #11829.

The provider's business location address is:

2500 S KOKE MILL RD
SPRINGFIELD, IL
ZIP 62711-617
Phone: (217) 529-9375

The provider's authorized official is Alan T Nielsen .
The authorized official title is Treasurer and has the following contact phone number (847) 315-3523.

The CLIA number assigned to this NPI record is 14D2019077 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/17/2007 and was last updated on 1/12/2016.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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