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WALGREEN CO NPI 1407379217


NPI Information

NPI: 1407379217
Provider Name: WALGREEN CO

Doing Business As: WALGREENS #17562

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 11D2242523

Address:
910 S WALL ST
CALHOUN, GA
ZIP 30701
Phone: (706) 602-8008
Get Directions

WALGREEN CO is a pharmacy in Calhoun, GA. 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 1407379217. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens #17562.

The provider's business location address is:

910 S WALL ST
CALHOUN, GA
ZIP 30701-620
Phone: (706) 602-8008
Fax: (706) 602-3723

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 11D2242523 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/24/2017 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacyPHRE010508GEORGIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11171177OTHERGEORGIANCPDP
2000770712AMEDICAIDGEORGIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.