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Walgreen Co
Community/Retail Pharmacy in Blytheville, Arkansas
NPI 1346323755

Walgreen Co is a Community/Retail Pharmacy based in Danville, AR and is specialized in Community/Retail Pharmacy. Walgreen Co practices in Blytheville, AR. The NPI Number for Walgreen Co is 1346323755 and holds a License No. AR20073 (Arkansas).

The current practice location address for Walgreen Co is 900 N 6Th St, Blytheville, AR and can be reached out via phone at 870-763-4507 and via fax at 870-762-0782.

Location: 900 N 6Th St, Blytheville, AR, 61834-4509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346323755
Provider Name
Walgreen Co
Credential
Provider Entity Type
Organization
Address
900 N 6Th St, Blytheville, AR, 61834-4509
Phone Number
870-763-4507
Fax Number
870-762-0782
Provider Enumeration Date
10/23/2006
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
135626716 01 AR MEDICAID DME
0415299 01 OTHER ID NUMBER-COMMERCIAL NUMBER
608053104 05 MO
P00335262 01 AR MEDICARE RAILROAD FLU
135626716 05 MO
628053100 01 MO MEDICAID DME
10615 01 AR MEDICARE FLU
133192407 05 AR
institution
Provider Business Practice Location Address Details
Address
900 N 6Th St
City
Blytheville
State
Arkansas
Zip
72315-1702
Phone Number
870-763-4507
Fax Number
870-762-0782
person
Provider Business Mailing Address Details
Address
900 N 6Th St
City
Blytheville
State
Arkansas
Zip
72315-1702
Phone Number
870-763-4507
Fax Number
870-762-0782
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
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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.
AR20073 (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.
AR20073 (Arkansas)
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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