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Walgreen Co
Managed Care Organization Pharmacy in Baldwin, Georgia
NPI 1861537748

Walgreen Co is a Managed Care Organization Pharmacy based in Danville, GA and is specialized in Managed Care Organization Pharmacy. Walgreen Co practices in Baldwin, GA. The NPI Number for Walgreen Co is 1861537748 and holds a License No. (Georgia).

The current practice location address for Walgreen Co is 184 Professional Dr Unit B, Baldwin, GA and can be reached out via phone at 866-894-2283 and via fax at 706-894-2717.

Location: 184 Professional Dr Unit B, Baldwin, GA, 61834-4509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861537748
Provider Name
Walgreen Co
Credential
Provider Entity Type
Organization
Address
184 Professional Dr Unit B, Baldwin, GA, 61834-4509
Phone Number
866-894-2283
Fax Number
706-894-2717
Provider Enumeration Date
02/20/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1152684 01 NCPDP NO.
PHRE008894 01 GA STATE LICENSE NO.
institution
Provider Business Practice Location Address Details
Address
184 Professional Dr Unit B
City
Baldwin
State
Georgia
Zip
30511-4012
Phone Number
866-894-2283
Fax Number
706-894-2717
person
Provider Business Mailing Address Details
Address
184 Professional Dr Unit B
City
Baldwin
State
Georgia
Zip
30511-4012
Phone Number
866-894-2283
Fax Number
706-894-2717
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
PHRE008894 (Georgia)
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.
PHRE008894 (Georgia)
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
Managed Care Organization Pharmacy
Taxonomy
3336M0003X
License No.
()
Definition
A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.
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