Organization · Type 2 NPI

Walgreen Co

Pharmacy · Rome, GA

NPI number 1578087110 Active

Practice location

2005 Maple Ave SW
Rome, GA 30161-6783

Call (706) 234-5392 Map

Fax (706) 234-5392

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	PHRE010543 (GA)
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…

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NPI record

NPI: 1578087110
Entity type: Organization (Type 2)
Issued: Jul 26, 2017
Last updated: Apr 30, 2018
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Rite Aid #11754 · doing business as
Rite Aid #11754 · doing business as

Authorized official

Alyssa Sweeten
Manager
(217) 709-2386

Verify this record

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 1578087110

Walgreen Co's National Provider Identifier is 1578087110, issued on Jul 26, 2017. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Rome, GA. The record was last updated on Apr 30, 2018.