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WALGREEN CO NPI 1942217955


NPI Information

NPI: 1942217955
Provider Name: WALGREEN CO

Doing Business As: WALGREENS #03141

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 45D2015673

Address:
1105 GOLIAD RD
SAN ANTONIO, TX
ZIP 78223
Phone: (210) 533-7602
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WALGREEN CO is a pharmacy in San Antonio, TX. 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 1942217955. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens #03141.

The provider's business location address is:

1105 GOLIAD RD
SAN ANTONIO, TX
ZIP 78223-838
Phone: (210) 533-7602
Fax: (210) 533-3916

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 45D2015673 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/2/2006 and was last updated on 2/17/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical LaboratoryNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
33336C0003XPharmacyCommunity/Retail PharmacyNo
4333600000XPharmacy16464TEXASYes

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
14594049OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2463802MEDICAIDTEXAS
3468348MEDICAIDTEXAS

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

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.