NPI Lookup

NPI Lookup from the NPI Registry — National Provider Identifier Database

WALGREENS # 12875
LBN WALGREEN CO

Pharmacy

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.


Contact Information

WALGREENS # 12875
LBN WALGREEN CO
2975 FORT CAMPBELL BLVD
CLARKSVILLE, TN37042-3021
 Phone: 931-431-4977
 Fax:
 Website:
 

Taxonomy / Specialty

Taxonomy Code

Pharmacy

333600000X
 

Community/Retail Pharmacy

3336C0003X
 

Durable Medical Equipment & Medical Supplies

332B00000X
Indicates primary specialty
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NPI Information for WALGREENS # 12875

NPI Number 1760797088
LBN Legal business name WALGREEN CO
DBA Doing business as WALGREENS # 12875
Authorized official KERMIT CRAWFORD - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/11/2010
Last updated 08/15/2011 - About 3 years ago
Identifiers
TN License # 4796
Medicare NSC 0282937524
Medicare PIN P00400633
Medicare PIN PHC049
Other 4443468 NCPDP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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