Walgreen Co, NPI 1104833029
Pharmacy in Portland, OR, 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 | 1104833029 |
| 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 | 12335 Ne Glisan St, Portland, OR, US |
| Provider Mailing Address | 1901 E Voorhees St, Ms 790, Danville, IL, US, 618344509 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Kira L Taylor |
| Official Position | MANAGER |
| Phone | 217-709-2351 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Pharmacy |
| Classification | |
| Group | |
| License No. | 1907 |
| License State | OR |
| 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 |
|---|---|---|---|
| 230793 | OR | MEDICAID | 05 |
| 3814349 | OTHER ID NUMBER-COMMERCIAL NUMBER | 01 |
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