Walgreen Co
Pharmacy in Slidell, LA. Organization (NPI-2).
NPI number1124433784
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1124433784
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreen Co
- Organization subpart
- Yes
- Enumeration date
- Jun 23, 2014
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | PHY.006941-RC | LA | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Walgreens #15988 (Doing Business As)
Practice location
1051 Gause Blvd Ste 101Slidell, LA 70458-2951
Phone 985-645-9934
Mailing address
1901 E Voorhees StMs 790
Danville, IL 61834-4509
Phone 217-709-2386 · Fax 217-709-2344
Authorized official
Alan T Nielsen
Treasurer
8473153523
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