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Walgreen Co
Community/Retail Pharmacy in Black Jack, Missouri
NPI 1881600344

Walgreen Co is a Community/Retail Pharmacy based in Danville, MO and is specialized in Community/Retail Pharmacy. Walgreen Co practices in Black Jack, MO. The NPI Number for Walgreen Co is 1881600344 and holds a License No. (Missouri).

The current practice location address for Walgreen Co is 12400 Old Halls Ferry Rd, Black Jack, MO and can be reached out via phone at 314-741-8688.

Location: 12400 Old Halls Ferry Rd, Black Jack, MO, 61834-4509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881600344
Provider Name
Walgreen Co
Credential
Provider Entity Type
Organization
Address
12400 Old Halls Ferry Rd, Black Jack, MO, 61834-4509
Phone Number
314-741-8688
Fax Number
Provider Enumeration Date
08/01/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2627947 01 OTHER ID NUMBER-COMMERCIAL NUMBER
603296609 05 MO
623296605 01 MO DME
institution
Provider Business Practice Location Address Details
Address
12400 Old Halls Ferry Rd
City
Black Jack
State
Missouri
Zip
63033-4202
Phone Number
314-741-8688
Fax Number
person
Provider Business Mailing Address Details
Address
12400 Old Halls Ferry Rd
City
Black Jack
State
Missouri
Zip
63033-4202
Phone Number
314-741-8688
Fax Number
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.
5412 (Missouri)
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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