Organization · Type 2 NPI

Walgreens Specialty Pharmacy, LLC

Pharmacy · Canton, MI

NPI number 1528224623 Active

Practice location

41460 Haggerty Cir S
Canton, MI 48188-2227

Call (888) 282-5166 Map

Fax (734) 677-5819

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	5301007754 (MI)
Specialty Pharmacy	3336S0011X	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…

41 other providers at this address

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NPI record

NPI: 1528224623
Entity type: Organization (Type 2)
Issued: Jul 29, 2008
Last updated: Oct 8, 2024
Status: Active
Subpart: Yes of Walgreen Boots Alliance Inc

Other names

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Walgreens Specialty Pharmacy #15438 · doing business as

Authorized official

Jennifer Ponce
Manager
(847) 527-2489

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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 1528224623

Walgreens Specialty Pharmacy, LLC's National Provider Identifier is 1528224623, issued on Jul 29, 2008. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Canton, MI. The record was last updated on Oct 8, 2024.