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WALGREENS NPI 1912349085


NPI Information

NPI: 1912349085
Provider Name: WALGREENS
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

CLIA Number: 05D2286799

Address:
10992 MAGNOLIA AVE
RIVERSIDE, CA
ZIP 92505
Phone: (951) 688-4154
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WALGREENS is a community health clinic center in Riverside, CA. WALGREENS NPI is 1912349085. The provider is registered as an organization entity type.

The provider's business location address is:

10992 MAGNOLIA AVE
RIVERSIDE, CA
ZIP 92505-045
Phone: (951) 688-4154
Fax: (951) 688-5537

The provider's authorized official is Andrew Wayne Anderson .
The authorized official title is Store Manager and has the following contact phone number (951) 688-4154.

The CLIA number assigned to this NPI record is 05D2286799 - other - health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/18/2013 and was last updated on 7/18/2013.


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
1261QC1500XClinic/CenterCommunity HealthYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.