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Walgreen Co
Community/Retail Pharmacy in South Bend, Indiana
NPI 1871721746

Walgreen Co is a Community/Retail Pharmacy based in Danville, IN and is specialized in Community/Retail Pharmacy. Walgreen Co practices in South Bend, IN. The NPI Number for Walgreen Co is 1871721746 and holds a License No. (Indiana).

The current practice location address for Walgreen Co is 4444 W Western Ave, South Bend, IN and can be reached out via phone at 574-246-0052 and via fax at 574-246-0293.

Location: 4444 W Western Ave, South Bend, IN, 61834-4509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871721746
Provider Name
Walgreen Co
Credential
Provider Entity Type
Organization
Address
4444 W Western Ave, South Bend, IN, 61834-4509
Phone Number
574-246-0052
Fax Number
574-246-0293
Provider Enumeration Date
06/30/2009
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200952080A 01 IN DME IN
200952080A 05 IN
1562734 01 IN NCPDP
institution
Provider Business Practice Location Address Details
Address
4444 W Western Ave
City
South Bend
State
Indiana
Zip
46619-2641
Phone Number
574-246-0052
Fax Number
574-246-0293
person
Provider Business Mailing Address Details
Address
4444 W Western Ave
City
South Bend
State
Indiana
Zip
46619-2641
Phone Number
574-246-0052
Fax Number
574-246-0293
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.
60006230A (Indiana)
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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