Walgreen Co
Pharmacy in Bangor, ME. Organization (NPI-2).
NPI number1972029577
StatusActive
Last updated in NPPESJun 15, 2018
Details
- NPI
- 1972029577
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreen Co
- Organization subpart
- Yes
- Enumeration date
- Aug 16, 2017
- Last updated
- Jun 15, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
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 # 18300 (Doing Business As)
Practice location
713 BroadwayBangor, ME 04401-3225
Phone 207-942-5521 · Fax 207-990-4411
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
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 6 Pharmacy providers in Bangor · All 3,717 providers in Bangor
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