Walgreen Co is a Pharmacy in Prudenville, Michigan. Walgreen Co practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Walgreen Co is 1811196694. The last update date is 2023-11-08.
Walgreen Co's current location address is 729 W Houghton Lake Dr, Prudenville, Michigan. You can contact this provider via phone number 9893665324 and fax number 9893669218. The mailing address for Walgreen Co is 729 W Houghton Lake Dr, Prudenville, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Walgreen Co |
|---|---|
| Address | 729 W Houghton Lake Dr, Prudenville, Michigan |
| Phone Number | 9893665324 |
| Fax Number | 9893669218 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Taylor L Kira |
| Telephone Number | 2177092351 |
NPI Number Detail
| NPI Number | 1811196694 |
|---|---|
| Provider Enumeration Date | 2007-07-12 |
| Last Updated Date | 2023-11-08 |
Provider Mailing Address Detail
| Address | 729 W Houghton Lake Dr |
|---|---|
| City | Prudenville |
| State | Michigan (MI) |
| Post Code | 486518462 |
| Phone Number | 9893665324 |
| Fax Number | 9893669218 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | 5301008616 |
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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 |
|---|---|---|---|
| 1811196694 | MI | MEDICAID MI DME | |
| 2369660 | NCPDP | ||
| 2369660 | 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 1811196694 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Walgreen Co?
The Walgreen Co is situated at 729 W Houghton Lake Dr, in the city of Prudenville, state of MI, with the zip code 486518462.
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 1811196694 issued?
The Walgreen Co's 1811196694 was issued on 2007-07-12.
As of what date was the information regarding Walgreen Co, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Walgreen Co, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-11-08.