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Walgreen Co
Community/Retail Pharmacy in South Bend, Indiana
NPI 1033124169

Walgreen Co is a Community/Retail Pharmacy based in Danville, IN and is specialized in Community/Retail Pharmacy. Walgreen Co practices in South Bend, IN. The NPI Number for Walgreen Co is 1033124169 and holds a License No. (Indiana).

The current practice location address for Walgreen Co is 52482 Indiana State Route 933, South Bend, IN and can be reached out via phone at 574-271-0357 and via fax at 574-243-1516.

Location: 52482 Indiana State Route 933, South Bend, IN, 61834-4509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033124169
Provider Name
Walgreen Co
Credential
Provider Entity Type
Organization
Address
52482 Indiana State Route 933, South Bend, IN, 61834-4509
Phone Number
574-271-0357
Fax Number
574-243-1516
Provider Enumeration Date
07/29/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1529164 01 OTHER ID NUMBER-COMMERCIAL NUMBER
100301210 05 IN
4825271 DME 05 MI
100301210A DME 05 IN
2861902 05 MI
institution
Provider Business Practice Location Address Details
Address
52482 Indiana State Route 933
City
South Bend
State
Indiana
Zip
46637-3852
Phone Number
574-271-0357
Fax Number
574-243-1516
person
Provider Business Mailing Address Details
Address
52482 Indiana State Route 933
City
South Bend
State
Indiana
Zip
46637-3852
Phone Number
574-271-0357
Fax Number
574-243-1516
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
60004192A (Indiana)
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 prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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