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WALGREEN CO. NPI 1629251038


NPI Information

NPI: 1629251038
Provider Name: WALGREEN CO.

Doing Business As: WALGREENS #11238

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 51D2036238

Address:
615 RANDOLPH AVE
ELKINS, WV
ZIP 26241
Phone: (304) 636-8180
Get Directions

WALGREEN CO. is a pharmacy in Elkins, WV. 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 1629251038. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens #11238.

The provider's business location address is:

615 RANDOLPH AVE
ELKINS, WV
ZIP 26241-950
Phone: (304) 636-8180
Fax: (304) 636-8310

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 51D2036238 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/7/2007 and was last updated on 10/30/2023.


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
13336C0003XPharmacyCommunity/Retail PharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3333600000XPharmacyMP0552356WEST VIRGINIAYes

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
15054616OTHERNCPDP
23810011253MEDICAIDWEST VIRGINIA

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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