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Walgreen Co
Community/Retail Pharmacy in Gautier, Mississippi
NPI 1821289398

Walgreen Co is a Community/Retail Pharmacy based in Danville, MS and is specialized in Community/Retail Pharmacy. Walgreen Co practices in Gautier, MS. The NPI Number for Walgreen Co is 1821289398 and holds a License No. (Mississippi).

The current practice location address for Walgreen Co is 2601 Highway 90, Gautier, MS and can be reached out via phone at 228-497-8110 and via fax at 228-497-6748.

Location: 2601 Highway 90, Gautier, MS, 61834-4509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821289398
Provider Name
Walgreen Co
Credential
Provider Entity Type
Organization
Address
2601 Highway 90, Gautier, MS, 61834-4509
Phone Number
228-497-8110
Fax Number
228-497-6748
Provider Enumeration Date
08/08/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00108716 01 MS MS MEDICAID
04489355 01 MS MS MEDICAID DME
2586975 01 NCPDP
institution
Provider Business Practice Location Address Details
Address
2601 Highway 90
City
Gautier
State
Mississippi
Zip
39553-5167
Phone Number
228-497-8110
Fax Number
228-497-6748
person
Provider Business Mailing Address Details
Address
2601 Highway 90
City
Gautier
State
Mississippi
Zip
39553-5167
Phone Number
228-497-8110
Fax Number
228-497-6748
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.
0749101.2 (Mississippi)
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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