WALGREEN EASTERN CO INC NPI 1912912262

NPI Information

NPI: 1912912262
Provider Name: WALGREEN EASTERN CO INC

Doing Business As: WALGREENS #07333

Classification: Pharmacy - 333600000X
Entity Type: Organization

Address:
1475 MAIN ST
WILLIMANTIC, CT
ZIP 06226
Phone: (860) 423-4273
Get Directions

WALGREEN EASTERN CO INC is a pharmacy in Willimantic, CT. 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 EASTERN CO INC NPI is 1912912262. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens #07333.

The provider's business location address is:

1475 MAIN ST
WILLIMANTIC, CT
ZIP 06226-914
Phone: (860) 423-4273

The provider's authorized official is Kira L 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 07D2241776 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/29/2006 and was last updated on 5/16/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	3336C0003X	Pharmacy	Community/Retail Pharmacy			No
3	333600000X	Pharmacy		960	CONNECTICUT	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	004109155 DME	MEDICAID	CONNECTICUT
2	0711906	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
3	004068250	MEDICAID	CONNECTICUT

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

NPI Synchronization or Removal

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