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WALGREENS NPI 1891063780


NPI Information

NPI: 1891063780
Provider Name: WALGREENS
Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 11D1101187

Address:
3100 BUGLE DR
DULUTH, GA
ZIP 30096
Phone: (770) 855-0017
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WALGREENS is a pharmacy in Duluth, 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. WALGREENS NPI is 1891063780. The provider is registered as an organization entity type.

The provider's business location address is:

3100 BUGLE DR
DULUTH, GA
ZIP 30096-526
Phone: (770) 855-0017

The provider's authorized official is Mathew Owens .
The authorized official title is Pharmacy Manager and has the following contact phone number (770) 535-4071.

The CLIA number assigned to this NPI record is 11D1101187 - other - covid testing site with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2011 and was last updated on 12/6/2011.


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
1333600000XPharmacyBW9581984GEORGIAYes

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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