Walgreen Co.
Pharmacy in Geismar, LA. Organization (NPI-2).
NPI number1790979110
StatusActive
Last updated in NPPESNov 7, 2023
Details
- NPI
- 1790979110
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreen Co.
- Organization subpart
- Yes
- Enumeration date
- Aug 29, 2007
- Certification date
- Nov 7, 2023
- Last updated
- Nov 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 5895 | LA | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Walgreens #11196 (Doing Business As)
Practice location
12506 Highway 73Geismar, LA 70734-3209
Phone 225-677-7607 · Fax 225-677-7608
Mailing address
1901 E Voorhees StMs 790
Danville, IL 61834-4509
Phone 217-709-2351 · Fax 217-709-2344
Authorized official
Kira L Taylor
Manager
2177092351
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