Walgreen Co
Pharmacy in Long Beach, MS. Organization (NPI-2).
NPI number1871016972
StatusActive
Last updated in NPPESJun 16, 2018
Details
- NPI
- 1871016972
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreen Co
- Organization subpart
- Yes
- Enumeration date
- Jul 20, 2017
- Last updated
- Jun 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Rite Aid #16787 (Doing Business As)
- Rite Aid (Doing Business As)
Practice location
200 W Railroad St Ste BLong Beach, MS 39560-4517
Phone 217-709-2386
Mailing address
1901 E Voorhees St # Ms 790Danville, IL 61834-4509
Phone 217-709-2386 · Fax 217-709-2344
Authorized official
Alyssa Sweeten
Manager
2177092386
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