Walgreen Louisiana Co Inc in Lake Charles - Pharmacy
Walgreen Louisiana Co Inc - NPI 1629084017
Walgreen Louisiana Co Inc is a Pharmacy in Lake Charles, Louisiana. Walgreen Louisiana Co Inc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Walgreen Louisiana Co Inc is 1629084017. The last update date is 2022-05-05.
Walgreen Louisiana Co Inc's current location address is 2636 Ryan St, Lake Charles, Louisiana. You can contact this provider via phone number 3374334178. The mailing address for Walgreen Louisiana Co Inc is 2636 Ryan St, Lake Charles, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Walgreen Louisiana Co Inc |
|---|---|
| Address | 2636 Ryan St, Lake Charles, Louisiana |
| Phone Number | 3374334178 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Taylor L Kira |
| Telephone Number | 2177092351 |
NPI Number Detail
| NPI Number | 1629084017 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2022-05-05 |
Provider Mailing Address Detail
| Address | 2636 Ryan St |
|---|---|
| City | Lake Charles |
| State | Louisiana (LA) |
| Post Code | 706017326 |
| Phone Number | 3374334178 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | 1166RC |
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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 |
|---|---|---|---|
| 1242837 | LA | -- | |
| 1900302 | OTHER ID NUMBER-COMMERCIAL NUM | ||
| 690015 | TX | -- |
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What is the Walgreen Louisiana Co Inc's 1629084017?
The Walgreen Louisiana Co Inc's NPI (National Provider Identifier) Number is 1629084017. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Walgreen Louisiana Co Inc located?
The Walgreen Louisiana Co Inc is located at 2636 Ryan St, Lake Charles, LA 706017326.
What is Walgreen Louisiana Co Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Walgreen Louisiana Co Inc's specialized field of practice is Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 333600000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1629084017 to Walgreen Louisiana Co Inc?
The Centers for Medicare & Medicaid Services assigned the 1629084017 to Walgreen Louisiana Co Inc on 2006-07-31.
As of what date were the details related to Walgreen Louisiana Co Inc most recently updated or revised?
The information pertaining to Walgreen Louisiana Co Inc, including its address, specialty, and other relevant details, was last updated or revised on 2022-05-05.