Walgreens Specialty Pharmacy Llc, NPI 1972560688
Pharmacy in Pittsburgh, PA, US

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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 1972560688
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 130 Enterprise Dr, Pittsburgh, PA, US
Provider Mailing Address 1901 E Voorhees St, Ms 790, Danville, IL, US, 618344509
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Kira Taylor
Official Position MANAGER
Phone 217-709-2351

Primary Taxonomy

Taxonomy Code

333600000X

Taxonomy Name Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. PP415372L
License State PA
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.

Other Organization Name

AllianceRx Walgreens Pharmacy #16287
Doing Business As

Business Address

Walgreens Specialty Pharmacy Llc
130 Enterprise Dr

Pittsburgh, PA, US

Phone: 412-413-8000
Fax: 877-231-8302

Mailing Address

Walgreens Specialty Pharmacy Llc
1901 E Voorhees St
Ms 790
Danville, IL, US
ZIP 618344509
Phone: 217-709-2386
Fax: 217-709-2344

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

3336H0001X

Suppliers

Pharmacy

No

3336S0011X

Suppliers

Pharmacy

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
003159944A GA MEDICAID 05
110103221B MA MEDICAID 05
81777100 DC MEDICAID 05
875403 AZ MEDICAID 05
04755357 MS MEDICAID 05
100002237 WI MEDICAID 05
10026155500 NE MEDICAID 05
163032407 AR MEDICAID 05
1972560688 UT MEDICAID 05
1972560688 MN MEDICAID 05
3102009 NH MEDICAID 05
3974157 TN MEDICAID 05
85885851 CO MEDICAID 05
03904592 NY MEDICAID 05
1028415 AK MEDICAID 05
131971000 WY MEDICAID 05
1972560688 MO MEDICAID 05
500603393 OR MEDICAID 05
779978 HI MEDICAID 05
WA95680 RI MEDICAID 05
0216524 OH MEDICAID 05
100512960 NV MEDICAID 05
1972560688 CA MEDICAID 05
580138 TX MEDICAID 05
0039683 NJ MEDICAID 05
0395461 NC MEDICAID 05
14195700 FL MEDICAID 05
164561 AL MEDICAID 05
1972560688 VA MEDICAID 05
1972560688 MI MEDICAID 05
1972560688 ID MEDICAID 05
200463010A IN MEDICAID 05
2202847 LA MEDICAID 05
7P372L SC MEDICAID 05
1010753 VT MEDICAID 05
12779024 NM MEDICAID 05
214642 MT MEDICAID 05
001963828-0008 PA MEDICAID 05
003135804 CT MEDICAID 05
1972560688 ME MEDICAID 05
200333400A KS MEDICAID 05
4048229-00 MD MEDICAID 05
1972560688 IA MEDICAID 05
200094500A OK MEDICAID 05
250622245 DE MEDICAID 05
3974157 NCPDP 01
7100162270 KY MEDICAID 05
P11046424 WA MEDICAID 05

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Lycorx Llc

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