Organization · Type 2 NPI

Walgreen

Point of Service · Pontiac, MI

NPI number 1083996896 Active

Practice location

690 Matrin Luther King Blvd N
Pontiac, MI 48342-1626

Fax (248) 745-8367

Mailing address

690 Matrin Luther Kings Blvd North
Pontiac, MI 48342-1626

Specialties and licenses

TaxonomyCodeLicense
Point of Service Primary 305S00000X5302017458 (MI)

Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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About NPI 1083996896

Walgreen's National Provider Identifier is 1083996896, issued on Sep 16, 2011. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Pontiac, MI. The record was last updated on Sep 16, 2011.