Walgreen Co is a Community/Retail Pharmacy based in Danville, TX and is specialized in Community/Retail Pharmacy. Walgreen Co practices in Tyler, TX. The NPI Number for Walgreen Co is 1679588669 and holds a License No. (Texas).
The current practice location address for Walgreen Co is 5415 S Broadway Ave, Tyler, TX and can be reached out via phone at 903-939-9298 and via fax at 903-939-9323.
Location: 5415 S Broadway Ave, Tyler, TX, 61834-4509
Provider Profile Details
NPI Number
1679588669
Provider Name
Walgreen Co
Credential
Provider Entity Type
Organization
Address
5415 S Broadway Ave, Tyler, TX, 61834-4509
Phone Number
903-939-9298
Fax Number
903-939-9323
Provider Enumeration Date
07/29/2006
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4515194 | 01 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 468122 | 05 | TX | |
| 464705 | 05 | TX |
Provider Business Practice Location Address Details
Address
5415 S Broadway Ave
City
State
Zip
75703-1397
Phone Number
903-939-9298
Fax Number
903-939-9323
Provider Business Mailing Address Details
Address
5415 S Broadway Ave
City
State
Zip
75703-1397
Phone Number
903-939-9298
Fax Number
903-939-9323
Provider's Taxonomy Details 1
Type
Laboratories
Classification
Clinical Medical Laboratory
Speciality
-
Taxonomy
License No.
()
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
20581 (Texas)
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.
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
License No.
()
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.
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
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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