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Walgreen Co
Compounding Pharmacy in San Pablo, California
NPI 1356646178

Walgreen Co is a Compounding Pharmacy based in Danville, CA and is specialized in Compounding Pharmacy. Walgreen Co practices in San Pablo, CA. The NPI Number for Walgreen Co is 1356646178 and holds a License No. (California).

The current practice location address for Walgreen Co is 14280 San Pablo Ave, San Pablo, CA and can be reached out via phone at 510-730-7000 and via fax at 510-730-7006.

Location: 14280 San Pablo Ave, San Pablo, CA, 61834-4509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356646178
Provider Name
Walgreen Co
Credential
Provider Entity Type
Organization
Address
14280 San Pablo Ave, San Pablo, CA, 61834-4509
Phone Number
510-730-7000
Fax Number
510-730-7006
Provider Enumeration Date
01/26/2011
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1356646178 05 CA
5640051 01 NCPDP
institution
Provider Business Practice Location Address Details
Address
14280 San Pablo Ave
City
San Pablo
State
California
Zip
94806-3328
Phone Number
510-730-7000
Fax Number
510-730-7006
person
Provider Business Mailing Address Details
Address
14280 San Pablo Ave
City
San Pablo
State
California
Zip
94806-3328
Phone Number
510-730-7000
Fax Number
510-730-7006
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.
PHY 50549 (California)
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
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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