Walgreen Co, NPI 1043316425
Pharmacy in Rexburg, ID, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1043316425 |
| NPI Entity Type | Organization |
| Provider Name |
Walgreen Co
Doing Business As |
| Subpart of Organization | Walgreens Boots Alliance Inc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 164 E Main St, Rexburg, ID, US |
| Provider Mailing Address | 1901 E Voorhees St, Ms 790, Danville, IL, US, 618344509 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Lisa Badgley |
| Official Position | SENIOR VICE PRESIDENT |
| Phone | 847-315-3012 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Pharmacy |
| Classification | |
| Group | |
| License No. | 38645RP |
| License State | ID |
| Description | 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. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No | |||||
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 1307645 | NCPDP | 01 | |
| 807556900 | ID | MEDICAID | 05 |
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