National Provider Identifier Database

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

WALGREEN CO
504 S 17TH AVE
WAUSAU, WI54401
Phone: 715-848-8730
Fax: 715-848-8385
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for WALGREEN CO

NPI Number 1881974053
Legal business name
LBN
WALGREEN CO
Authorized official KIRA TAYLOR - (MANAGER)
Entity Organization
Organization subpart Yes
Enumeration date 08/19/2011
Last updated 04/13/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 9095-042
  • WI Medicaid: 1881974053
  • Other: 0282937780 NCPDP
  • WI Other: 5132814 NCPDP

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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