Walgreen Co is a Pharmacy in Beaver Dam, Wisconsin. Walgreen Co practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Walgreen Co is 1124210166. The last update date is 2023-10-30.
Walgreen Co's current location address is 607 Park Ave, Beaver Dam, Wisconsin. You can contact this provider via phone number 9203560148 and fax number 9203560401. The mailing address for Walgreen Co is 607 Park Ave, Beaver Dam, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Walgreen Co |
|---|---|
| Address | 607 Park Ave, Beaver Dam, Wisconsin |
| Phone Number | 9203560148 |
| Fax Number | 9203560401 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Taylor Kira |
| Telephone Number | 2177092351 |
NPI Number Detail
| NPI Number | 1124210166 |
|---|---|
| Provider Enumeration Date | 2007-08-14 |
| Last Updated Date | 2023-10-30 |
Provider Mailing Address Detail
| Address | 607 Park Ave |
|---|---|
| City | Beaver Dam |
| State | Wisconsin (WI) |
| Post Code | 539162201 |
| Phone Number | 9203560148 |
| Fax Number | 9203560401 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | 8776-042 |
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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 |
|---|---|---|---|
| 36221400 | WI | -- | |
| 5130098 | NCPDP |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Walgreen Co by the Centers for Medicare & Medicaid Services?
The Walgreen Co has been issued the NPI (National Provider Identifier) 1124210166, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Walgreen Co is physically located?
The Walgreen Co is situated at the following address: 607 Park Ave, Beaver Dam, WI 539162201.
What is Walgreen Co's specialized field of practice, and what is the corresponding taxonomy classification code?
The Walgreen Co's area of specialization is Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 333600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1124210166 to Walgreen Co?
The Walgreen Co received its 1124210166 assignment from the Centers for Medicare & Medicaid Services on 2007-08-14.
As of what date were the Walgreen Co's details last updated?
The information pertaining to the Walgreen Co, including its address, specialty, and other details, was most recently updated on 2023-10-30.
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