Walgreen Eastern Co Inc in Brockton - Pharmacy
Walgreen Eastern Co Inc - NPI 1790790996
Walgreen Eastern Co Inc is a Pharmacy in Brockton, Massachusetts. Walgreen Eastern Co Inc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Walgreen Eastern Co Inc is 1790790996. The last update date is 2023-10-27.
Walgreen Eastern Co Inc's current location address is 1101 Main St, Brockton, Massachusetts. You can contact this provider via phone number 5085803164. The mailing address for Walgreen Eastern Co Inc is 1101 Main St, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Walgreen Eastern Co Inc |
|---|---|
| Address | 1101 Main St, Brockton, Massachusetts |
| Phone Number | 5085803164 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Taylor Kira |
| Telephone Number | 2177092351 |
NPI Number Detail
| NPI Number | 1790790996 |
|---|---|
| Provider Enumeration Date | 2006-07-29 |
| Last Updated Date | 2023-10-27 |
Provider Mailing Address Detail
| Address | 1101 Main St |
|---|---|
| City | Brockton |
| State | Massachusetts (MA) |
| Post Code | 23016828 |
| Phone Number | 5085803164 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | 2250 |
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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 |
|---|---|---|---|
| 2233093 | OTHER ID NUMBER-COMMERCIAL NUM | ||
| 441031 | MA | -- | |
| 110000112E | MA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Walgreen Eastern Co Inc?
The Walgreen Eastern Co Inc has been issued the NPI (National Provider Identifier) 1790790996 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Walgreen Eastern Co Inc?
The Walgreen Eastern Co Inc is situated at 1101 Main St, in the city of Brockton, state of MA, with the zip code 23016828.
What is the Walgreen Eastern Co Inc's area of specialization and corresponding taxonomy classification?
The Walgreen Eastern Co Inc's specialty field is Pharmacy, and it falls under the taxonomy code 333600000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790790996 to Walgreen Eastern Co Inc?
The Centers for Medicare & Medicaid Services originally issued the 1790790996 to Walgreen Eastern Co Inc on 2006-07-29.
As of what date was the information regarding Walgreen Eastern Co Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Walgreen Eastern Co Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-10-27.
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