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WALGREEN CO. NPI 1912935446


NPI Information

NPI: 1912935446
Provider Name: WALGREEN CO.

Doing Business As: WALGREENS #10330

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 44D2032540

Address:
2340 HIGHWAY 394
BLOUNTVILLE, TN
ZIP 37617
Phone: (423) 323-1656
Get Directions

WALGREEN CO. is a pharmacy in Blountville, TN. 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 1912935446. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens #10330.

The provider's business location address is:

2340 HIGHWAY 394
BLOUNTVILLE, TN
ZIP 37617-319
Phone: (423) 323-1656
Fax: (423) 323-7264

The provider's authorized official is Lisa Badgley .
The authorized official title is Senior Vice President and has the following contact phone number (847) 315-3012.

The CLIA number assigned to this NPI record is 44D2032540 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/30/2006 and was last updated on 3/7/2022.


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
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacy4269TENNESSEEYes

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
14439281OTHERNCPDP
2010283990MEDICAIDVIRGINIA
34439281MEDICAIDTENNESSEE

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: 11/14/2023

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.