Organization · Type 2 NPI

Walgreen Co

Pharmacy · Sparta, TN

NPI number 1851817258 Active

Practice location

460 W Bockman Way
Sparta, TN 38583

Call (931) 836-1500 Map

Fax (931) 836-8070

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	None listed
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…

5 other providers at this address

Other pharmacy providers in Sparta

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NPI record

NPI: 1851817258
Entity type: Organization (Type 2)
Issued: Aug 17, 2017
Last updated: Aug 7, 2018
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Rite Aid #1409 · doing business as
Rite Aid #1409 · doing business as
Rite Aid #17663 · 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 1851817258

Walgreen Co's National Provider Identifier is 1851817258, issued on Aug 17, 2017. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Sparta, TN. The record was last updated on Aug 7, 2018.