Organization · Type 2 NPI

Walgreen Co

Pharmacy · Brockton, MA

NPI number 1386169340 Active

Practice location

725 Centre St
Brockton, MA 02302-3311

Call (508) 584-0940 Map

Fax (508) 584-4986

Mailing address

1901 E Voorhees St # Ms 790
Danville, IL 61834-4509

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	DS90183 (MA)
Community/Retail Pharmacy	3336C0003X	None listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

3 other providers at this address

Other pharmacy providers in Brockton

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NPI record

NPI: 1386169340
Entity type: Organization (Type 2)
Issued: Aug 10, 2017
Last updated: Jun 16, 2018
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Rite Aid #18970 · doing business as
Rite Aid #10176 · doing business as
Rite Aid #10176 · doing business as

Authorized official

Alyssa Sweeten
Manager
(217) 709-2386

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1386169340

Walgreen Co's National Provider Identifier is 1386169340, issued on Aug 10, 2017. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Brockton, MA. The record was last updated on Jun 16, 2018.