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WALGREEN CO NPI 1578707758


NPI Information

NPI: 1578707758
Provider Name: WALGREEN CO

Doing Business As: WALGREENS #12894

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 23D2043409

Address:
975 W SOUTH AIRPORT RD
TRAVERSE CITY, MI
ZIP 49686
Phone: (231) 946-5840
Get Directions

WALGREEN CO is a pharmacy in Traverse City, MI. 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 1578707758. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens #12894.

The provider's business location address is:

975 W SOUTH AIRPORT RD
TRAVERSE CITY, MI
ZIP 49686-846
Phone: (231) 946-5840
Fax: (231) 946-6293

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 23D2043409 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/1/2009 and was last updated on 4/8/2022.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0002XPharmacyClinic PharmacyNo
3333600000XPharmacy5301009127MICHIGANYes

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
11578707758OTHERMICHIGANMI-DME
21578707758MEDICAIDMICHIGAN
32372768OTHERMICHIGANNCPDP

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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