Walgreen Co is a Pharmacy in Dyersburg, Tennessee. Walgreen Co practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Walgreen Co is 1114000528. The last update date is 2017-03-07.
Walgreen Co's current location address is 345 Us Highway 51 Byp W, Dyersburg, Tennessee. You can contact this provider via phone number 7312857267. The mailing address for Walgreen Co is 345 Us Highway 51 Byp W, Dyersburg, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Walgreen Co |
|---|---|
| Address | 345 Us Highway 51 Byp W, Dyersburg, Tennessee |
| Phone Number | 7312857267 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | TREASURER |
|---|---|
| Authorized Official Name | Nielsen T Alan |
| Telephone Number | 8473153523 |
NPI Number Detail
| NPI Number | 1114000528 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2017-03-07 |
Provider Mailing Address Detail
| Address | 345 Us Highway 51 Byp W |
|---|---|
| City | Dyersburg |
| State | Tennessee (TN) |
| Post Code | 380241930 |
| Phone Number | 7312857267 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | 1261 |
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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 |
|---|---|---|---|
| 103G735903 | TN | MEDICARE FLU | |
| 4499927 | TN | MEDICAID DME | |
| 4428721 | OTHER ID NUMBER-COMMERCIAL NUM | ||
| 1452321 | TN | MEDICAID DME | |
| 9449918 | TN | -- |
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What is the unique identifier code issued to Walgreen Co by the Centers for Medicare & Medicaid Services?
The Walgreen Co has been assigned the NPI (National Provider Identifier) 1114000528. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Walgreen Co?
The Walgreen Co is physically situated at 345 Us Highway 51 Byp W, in the city of Dyersburg, state of TN, with the postal code 380241930.
What is the Walgreen Co's area of specialization and corresponding taxonomy classification?
The Walgreen Co's specialty field is Pharmacy, and it falls under the taxonomy code 333600000X, which categorizes healthcare providers based on their specialties.
When was the Walgreen Co's 1114000528 issued?
The Walgreen Co's 1114000528 was issued on 2006-10-23.
When was the Walgreen Co's information last updated?
The Walgreen Co's information was last updated on 2017-03-07.