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Walgreen Co
Community/Retail Pharmacy in Pine Bluff, Arkansas
NPI 1265515670

Walgreen Co is a Community/Retail Pharmacy based in Danville, AR and is specialized in Community/Retail Pharmacy. Walgreen Co practices in Pine Bluff, AR. The NPI Number for Walgreen Co is 1265515670 and holds a License No. (Arkansas).

The current practice location address for Walgreen Co is 2503 W 28Th Ave, Pine Bluff, AR and can be reached out via phone at 870-850-6084 and via fax at 870-850-6361.

Location: 2503 W 28Th Ave, Pine Bluff, AR, 61834-4509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265515670
Provider Name
Walgreen Co
Credential
Provider Entity Type
Organization
Address
2503 W 28Th Ave, Pine Bluff, AR, 61834-4509
Phone Number
870-850-6084
Fax Number
870-850-6361
Provider Enumeration Date
10/23/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
127143716 01 MEDICAID DME
0409450 01 OTHER ID NUMBER-COMMERCIAL NUMBER
100633407 05 AR
10619 01 AR MEDICARE FLU
institution
Provider Business Practice Location Address Details
Address
2503 W 28Th Ave
City
Pine Bluff
State
Arkansas
Zip
71603-5053
Phone Number
870-850-6084
Fax Number
870-850-6361
person
Provider Business Mailing Address Details
Address
2503 W 28Th Ave
City
Pine Bluff
State
Arkansas
Zip
71603-5053
Phone Number
870-850-6084
Fax Number
870-850-6361
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.
AR20702 (Arkansas)
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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