Organization · Type 2 NPI

Walgreen Co

Pharmacy · Red Bank, TN

NPI number 1861918138 Active

Practice location

4038 Dayton Blvd
Red Bank, TN 37415

Call (423) 877-2431 Map

Fax (423) 877-3258

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 Red Bank

Walgreen CoPharmacy Red Bank, TN NPI 1205841210

See all in Red Bank →

NPI record

NPI: 1861918138
Entity type: Organization (Type 2)
Issued: Aug 18, 2017
Last updated: Jul 23, 2018
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Rite Aid #18210 · doing business as
Rite Aid#11907 · doing business as
Rite Aid#11907 · 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 1861918138

Walgreen Co's National Provider Identifier is 1861918138, issued on Aug 18, 2017. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Red Bank, TN. The record was last updated on Jul 23, 2018.