Walgreen Co is a Pharmacy in South Lyon, Michigan. Walgreen Co practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Walgreen Co is 1003098344. The last update date is 2023-11-08.
Walgreen Co's current location address is 22318 Pontiac Trl, South Lyon, Michigan. You can contact this provider via phone number 2484865216 and fax number 2484865460. The mailing address for Walgreen Co is 22318 Pontiac Trl, South Lyon, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Walgreen Co |
|---|---|
| Address | 22318 Pontiac Trl, South Lyon, Michigan |
| Phone Number | 2484865216 |
| Fax Number | 2484865460 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Taylor L Kira |
| Telephone Number | 2177092351 |
NPI Number Detail
| NPI Number | 1003098344 |
|---|---|
| Provider Enumeration Date | 2007-11-28 |
| Last Updated Date | 2023-11-08 |
Provider Mailing Address Detail
| Address | 22318 Pontiac Trl |
|---|---|
| City | South Lyon |
| State | Michigan (MI) |
| Post Code | 481781657 |
| Phone Number | 2484865216 |
| Fax Number | 2484865460 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | L1220163 |
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Definition: 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 presc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1003098344 | MI | MI MEDICAID DME | |
| 2370512 | NCPDP | ||
| 2370512 | MI | -- |
Post Comment/ Review Below
What is the Walgreen Co's unique identification number?
The Walgreen Co has been assigned the NPI (National Provider Identifier) Number 1003098344 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Walgreen Co is physically located?
The Walgreen Co is physically situated at the following address: 22318 Pontiac Trl, South Lyon, MI, 481781657.
What is Walgreen Co's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Walgreen Co is Pharmacy, and the taxonomy code that categorizes this field of expertise is 333600000X.
On what date did the Walgreen Co receive the assignment of its 1003098344 from the Centers for Medicare & Medicaid Services?
The Walgreen Co was issued its 1003098344 by the Centers for Medicare & Medicaid Services on 2007-11-28.
As of what date were the details related to Walgreen Co most recently updated or revised?
The information pertaining to Walgreen Co, including its address, specialty, and other relevant details, was last updated or revised on 2023-11-08.
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