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WALGREENS SPECIALTY PHARMACY LLC NPI 1942303110


NPI Information

NPI: 1942303110
Provider Name: WALGREENS SPECIALTY PHARMACY LLC

Doing Business As: ALLIANCERX WALGREENS PHARMACY #15438

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
41460 HAGGERTY CIR S
CANTON, MI
ZIP 48188
Phone: (888) 282-5166
Get Directions

WALGREENS SPECIALTY PHARMACY LLC is a pharmacy in Canton, MI. 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 SPECIALTY PHARMACY LLC NPI is 1942303110. The provider is registered as an organization entity type.
The provider Is Doing Business As Alliancerx Walgreens Pharmacy #15438.

The provider's business location address is:

41460 HAGGERTY CIR S
CANTON, MI
ZIP 48188
Phone: (888) 282-5166
Fax: (888) 570-4700

The provider's authorized official is Kira Taylor .
The authorized official title is Manager and has the following contact phone number (217) 709-2351.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 10/18/2022.


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
23336H0001XPharmacyHome Infusion Therapy PharmacyNo
33336S0011XPharmacySpecialty Pharmacy5301007754MICHIGANNo
4333600000XPharmacy5301007754MICHIGANYes

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
11942303110MEDICAIDUTAH
21023139MEDICAIDVERMONT
31942303110MEDICAIDMICHIGAN
4551206900MEDICAIDMARYLAND
5100066062MEDICAIDWISCONSIN
61942303110MEDICAIDIOWA
7201052500AMEDICAIDINDIANA
89000182454MEDICAIDCOLORADO
90213639MEDICAIDMONTANA
101942303110MEDICAIDIDAHO
1119638280007MEDICAIDPENNSYLVANIA
12200333400DMEDICAIDKANSAS
132008032MEDICAIDWASHINGTON
140216482MEDICAIDOHIO
15118687600MEDICAIDWYOMING
161942303110MEDICAIDMINNESOTA
172348046OTHERNCPDP
182348046MEDICAIDTENNESSEE
19003788101MEDICAIDNEVADA
201942303110MEDICAIDMISSOURI
217100151430MEDICAIDKENTUCKY

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.