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Contact Information

WALGREEN CO.
600 GAP NEWPORT PIKE
AVONDALE, PA19311
 Phone: 610-268-8110
 Fax: 610-268-8189
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for WALGREEN CO.

NPI Number 1528089877
LBN Legal business name WALGREEN CO.
Authorized official KIRA TAYLOR - (MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/22/2006
Last updated 11/03/2023 - About 3 years ago
Identifiers
PA License # PP482136
DE Medicaid 1000030206
PA Medicaid 1007669700160
Other 3982320 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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