Walgreen Co. is a Pharmacy in St Augustine, Florida. Walgreen Co. practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Walgreen Co. is 1336396647. The last update date is 2023-11-01.
Walgreen Co.'s current location address is 2801 N Ponce De Leon Blvd, St Augustine, Florida. You can contact this provider via phone number 9048102200 and fax number 9048102292. The mailing address for Walgreen Co. is 2801 N Ponce De Leon Blvd, St Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Walgreen Co. |
|---|---|
| Address | 2801 N Ponce De Leon Blvd, St Augustine, Florida |
| Phone Number | 9048102200 |
| Fax Number | 9048102292 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Taylor L Kira |
| Telephone Number | 2177092351 |
NPI Number Detail
| NPI Number | 1336396647 |
|---|---|
| Provider Enumeration Date | 2008-08-19 |
| Last Updated Date | 2023-11-01 |
Provider Mailing Address Detail
| Address | 2801 N Ponce De Leon Blvd |
|---|---|
| City | St Augustine |
| State | Florida (FL) |
| Post Code | 320841648 |
| Phone Number | 9048102200 |
| Fax Number | 9048102292 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | PH23626 |
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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 |
|---|---|---|---|
| 448900 | FL | -- | |
| 448901 | FL | FL MEDICAID DME | |
| 448901 | FL | -- | |
| 1037755 | NCPDP |
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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) 1336396647. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Walgreen Co. located?
The Walgreen Co. is located at 2801 N Ponce De Leon Blvd, St Augustine, FL 320841648.
What is Walgreen Co.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Walgreen Co. is Pharmacy, and the corresponding taxonomy classification code for this specialized field is 333600000X.
On what date did the Walgreen Co. receive its 1336396647 assignment from the Centers for Medicare & Medicaid Services?
The Walgreen Co. was assigned its 1336396647 by the Centers for Medicare & Medicaid Services on 2008-08-19.
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 2023-11-01.