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WALGREEN CO NPI 1497762439


NPI Information

NPI: 1497762439
Provider Name: WALGREEN CO

Doing Business As: WALGREEN DRUG STORE

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
20145 VAN AKEN BLVD
SHAKER HEIGHTS, OH
ZIP 44122
Phone: (216) 921-6042
Get Directions

WALGREEN CO is a pharmacy in Shaker Heights, OH. 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 1497762439. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreen Drug Store.

The provider's business location address is:

20145 VAN AKEN BLVD
SHAKER HEIGHTS, OH
ZIP 44122-618
Phone: (216) 921-6042
Fax: (216) 921-3677

The provider's authorized official is Virginia Gonzalez .
The authorized official title is Supervisor and has the following contact phone number (217) 554-8964.

The enumeration date for this NPI number is 8/2/2006 and was last updated on 8/22/2020.


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
1333600000XPharmacy21555100OHIOYes
23336C0003XPharmacyCommunity/Retail PharmacyX

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
12610295MEDICAIDOHIO
23673995OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

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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