- Practice location
- 90 River St, Mattapan, MA 02126-2975
- Phone
- 617-298-6634
- Fax
- 617-298-3517
- Last updated
- May 11, 2022
Walgreen Co is a healthcare organization based in Mattapan, MA. Walgreen Co practices in Mattapan, MA. The NPI Number for Walgreen Co is 1417473828 and holds a License No. DS90189 (MA). The current practice location address for Walgreen Co is 90 River St, Mattapan, MA 02126-2975 and can be reached out via phone at 617-298-6634 and via fax at 617-298-3517.
Provider Profile Details
- NPI Number
- 1417473828
- Provider Name
- Walgreen Co
- Provider Entity Type
- Organization
- Address
- 90 River St, Mattapan, MA 02126-2975
- Phone Number
- 617-298-6634
- Fax Number
- 617-298-3517
- Primary Taxonomy
- Pharmacy · 333600000X
- Organization Subpart
- Yes
- Parent Organization
- Walgreens Boots Alliance INC
- Authorized Official
- Kira Taylor · Manager · 217-709-2351
- Other Names
- Walgreens #17257 (Doing Business As)
- Provider Enumeration Date
- August 17, 2017
- Last Update Date
- May 11, 2022
- Certification Date
- May 11, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 90 River St
Mattapan, MA 02126-2975 - City
- Mattapan
- State
- Massachusetts
- Zip
- 02126-2975
- Phone Number
- 617-298-6634
- Fax Number
- 617-298-3517
Provider Business Mailing Address Details
- Address
- 1901 E Voorhees St
Ms 790
Danville, IL 61834-4509 - City
- Danville
- State
- IL
- Zip
- 61834-4509
- Phone Number
- 217-709-2351
- Fax Number
- 217-709-2344
License Information
- Taxonomy (1)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- Taxonomy (2)
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- License Number (3)
- DS90189
- License State (3)
- MA
- Taxonomy (3)
- Pharmacy · 333600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Walgreen Co?
The NPI number of Walgreen Co is 1417473828. It was assigned on August 17, 2017 and is currently active in the NPPES registry.
What is the specialty of Walgreen Co?
Walgreen Co is registered under the primary taxonomy Pharmacy (code 333600000X), licensed in MA under license number DS90189.
Where does Walgreen Co practice?
The practice location is 90 River St, Mattapan, MA 02126-2975. The office can be reached at 617-298-6634 (phone) or 617-298-3517 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417473828 directly on the NPPES registry website.