Walgreen Co is a Pharmacy in Jacksonville, Arkansas. Walgreen Co practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Walgreen Co is 1790790061. The last update date is 2023-10-25.
Walgreen Co's current location address is 819 W Main St, Jacksonville, Arkansas. You can contact this provider via phone number 5012410225 and fax number 5012410228. The mailing address for Walgreen Co is 819 W Main St, Jacksonville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Walgreen Co |
|---|---|
| Address | 819 W Main St, Jacksonville, Arkansas |
| Phone Number | 5012410225 |
| Fax Number | 5012410228 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Taylor L Kira |
| Telephone Number | 2177092351 |
NPI Number Detail
| NPI Number | 1790790061 |
|---|---|
| Provider Enumeration Date | 2006-07-29 |
| Last Updated Date | 2023-10-25 |
Provider Mailing Address Detail
| Address | 819 W Main St |
|---|---|
| City | Jacksonville |
| State | Arkansas (AR) |
| Post Code | 720764435 |
| Phone Number | 5012410225 |
| Fax Number | 5012410228 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | 20384 |
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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 |
|---|---|---|---|
| 422030 | OTHER ID NUMBER-COMMERCIAL NUM | ||
| 154701407 | AR | -- | |
| 157855716 DME | AR | -- |
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What is the unique identification code assigned to Walgreen Co by the Centers for Medicare & Medicaid Services?
The Walgreen Co has been issued the NPI (National Provider Identifier) 1790790061. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Walgreen Co is physically located?
The Walgreen Co is physically situated at the following address: 819 W Main St, Jacksonville, AR, 720764435.
What is Walgreen Co's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Walgreen Co is Pharmacy, and the taxonomy code that classifies this field of practice is 333600000X.
On what date did the Walgreen Co receive the assignment of its 1790790061 from the Centers for Medicare & Medicaid Services?
The Walgreen Co was issued its 1790790061 by the Centers for Medicare & Medicaid Services on 2006-07-29.
When was the information pertaining to Walgreen Co most recently updated or revised?
The details related to Walgreen Co, including its address, specialty, and other relevant information, were last updated or revised on 2023-10-25.
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