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WALGREEN CO NPI 1972028645


NPI Information

NPI: 1972028645
Provider Name: WALGREEN CO

Doing Business As: WALGREENS #19561

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 11D2287314

Address:
1235 WASHINGTON ST
CLARKESVILLE, GA
ZIP 30523
Phone: (706) 754-4122
Get Directions

WALGREEN CO is a pharmacy in Clarkesville, GA. 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 1972028645. The provider is registered as an organization entity type.
The provider Is Doing Business As Walgreens #19561.

The provider's business location address is:

1235 WASHINGTON ST
CLARKESVILLE, GA
ZIP 30523-618
Phone: (706) 754-4122
Fax: (706) 754-9338

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 CLIA number assigned to this NPI record is 11D2287314 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/3/2017 and was last updated on 6/9/2022.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacyPHRE010505GEORGIAYes

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
11171507OTHERGEORGIANCPDP
2000383743AMEDICAIDGEORGIA

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

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