Walgreens Specialty Pharmacy Llc, NPI 1942303110
Pharmacy in Canton, MI, 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 | 1942303110 |
| NPI Entity Type | Organization |
| Provider Name |
Walgreens Specialty Pharmacy Llc
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 | 41460 Haggerty Cir S, Canton, MI, 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 Taylor |
| Official Position | MANAGER |
| Phone | 217-709-2351 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Pharmacy |
| Classification | |
| Group | |
| License No. | 5301007754 |
| License State | MI |
| 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 | |||||
| 5301007754 | MI | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 1942303110 | UT | MEDICAID | 05 |
| 551206900 | MD | MEDICAID | 05 |
| 1023139 | VT | MEDICAID | 05 |
| 0216482 | OH | MEDICAID | 05 |
| 1942303110 | MI | MEDICAID | 05 |
| 2348046 | TN | MEDICAID | 05 |
| 0213639 | MT | MEDICAID | 05 |
| 1942303110 | IA | MEDICAID | 05 |
| 9000182454 | CO | MEDICAID | 05 |
| 2348046 | NCPDP | 01 | |
| 003788101 | NV | MEDICAID | 05 |
| 118687600 | WY | MEDICAID | 05 |
| 1942303110 | ID | MEDICAID | 05 |
| 1942303110 | MO | MEDICAID | 05 |
| 200333400D | KS | MEDICAID | 05 |
| 100066062 | WI | MEDICAID | 05 |
| 1942303110 | MN | MEDICAID | 05 |
| 19638280007 | PA | MEDICAID | 05 |
| 2008032 | WA | MEDICAID | 05 |
| 201052500A | IN | MEDICAID | 05 |
| 7100151430 | KY | MEDICAID | 05 |
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|---|---|---|---|
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DR. PSYD Amreeta Gill Individual |
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DR. M.D., M.S. Marco Antonio Peterson JR. Individual |
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PT Esther Karunakar Individual |
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MD Sailaja Yadavalli Individual |
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MD Jeffery Wong Individual |
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MRS. P.A.-C Sarah Zukowski Wilhelm Individual |
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MD Bridget Wiater Individual |
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MD Robert Weinfeld Individual |
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M.D. Ann E Swinford Individual |
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Lindsay Essig Individual |
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LPC Jonathan Hart Individual |
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DDS, MS Suhaib Alqawasmeh Individual |
30090 23 Mile Rd |
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Alexis K Willmore Individual |
3950 Hollywood Rd Ste 280 |
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DR. DO, MPH Jimmy Wayne Brandon Individual |
Preventive Medicine/Occupational Environmental Medicine Physician |
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Logan Morse Individual |
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