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WALGREEN CO NPI 1447265673


NPI Information

NPI: 1447265673
Provider Name: WALGREEN CO

Doing Business As: WALGREENS #04449

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 10D2018931

Address:
2101 SADLER RD
FERNANDINA BEACH, FL
ZIP 32034
Phone: (904) 277-9615
Get Directions

WALGREEN CO is a pharmacy in Fernandina Beach, 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 1447265673. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens #04449.

The provider's business location address is:

2101 SADLER RD
FERNANDINA BEACH, FL
ZIP 32034-452
Phone: (904) 277-9615

The provider's authorized official is Kira L 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 10D2018931 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/29/2006 and was last updated on 4/4/2022.


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
3333600000XPharmacyPH0015914FLORIDAYes

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
11082801OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2106331601MEDICAIDFLORIDA
3987441565AMEDICAIDGEORGIA
4106331600MEDICAIDFLORIDA

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

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