WALGREEN CO


Address: 729 W Houghton Lake Dr, Prudenville, MI 48651-8462
Phone: 9893665324

WALGREEN CO (NPI# 1811196694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811196694
Entity Type Organization
Organization Name WALGREEN CO
Other Organization Name WALGREENS # 10489
Practice Address 729 W Houghton Lake Dr
Prudenville
MI 48651-8462
Mailing Address 1901 E Voorhees St
Mail Stop 790
Danville
IL 61834-4509
Practice Telephone 9893665324
Mailing Telephone 2177092386
Mailing Fax Number 2177092344
Enumeration Date 2007-07-12
Last Update Date 2016-09-06
Authorized Official Name MR. ALAN T NIELSEN (TREASURER)
Authorized Official Telephone 8473153523
Is Organization Subpart Y
Parent Organization Name WALGREENS BOOTS ALLIANCE INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 333600000X Pharmacy 5301008616 MI Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
MI MEDICAID MI DME 1811196694 01
MI 2369660 05
NCPDP 2369660 01

Other Provider/Organization Names

Other Name Type Code
Walgreens # 10489 Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1306459615 Walgreen Co Pharmacy 23335 Soboba Rd, San Jacinto, CA 92583 2020-08-26
1548873284 Walgreen Co Durable Medical Equipment & Medical Supplies 909 Veterans Blvd, Del Rio, TX 78840-4065 2020-08-24
1013527092 Walgreen Co Durable Medical Equipment & Medical Supplies 433 W Van Buren St Ste 150, Chicago, IL 60607-0433 2020-08-05
1801419650 Walgreen Co Durable Medical Equipment & Medical Supplies 1301 N Main St Ste 100rx, Blacksburg, VA 24060-3129 2020-05-27
1699398602 Walgreen Co Pharmacy 262 Danny Thomas Pl Ste 100rx, Memphis, TN 38105-3678 2020-05-26
1861021495 Walgreen Co Pharmacy 1870 W Rio Salado Pkwy Ste 100rx, Tempe, AZ 85281-2695 2020-04-06
1154960722 Walgreen Co Durable Medical Equipment & Medical Supplies 41840 W Maricopa- Casa Grande Hwy, Maricopa, AZ 85138 2019-12-31
1932746047 Walgreen Co Durable Medical Equipment & Medical Supplies 300 W Broughton St, Savannah, GA 31401-3216 2019-12-09
1053955377 Walgreen Co Durable Medical Equipment & Medical Supplies 1530 Celebration Blvd Ste 100rx, Kissimmee, FL 34747-5164 2019-10-30
1528600269 Walgreen Co Durable Medical Equipment & Medical Supplies 212a Moore Rd, King, NC 27021-8703 2019-10-15

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities WALGREEN CO. 161 Washington Street, Suite 1400, Conshohocken, PA 19428
Iowa Business Entities WALGREEN CO. 300 Wilmot Road, Deerfield, IL 60015
Virginia Business Entities WALGREEN CO. 161 Washington St Ste 1400, Conshohocken, Pennsylvania 19428-2055
Washington State Corporations WALGREEN CO. 300 Wilmot Rd, Deerfield, IL 60015-4614
North Carolina Corporations Walgreen Co. 2626 Glenwood Avenue, Suite 550, Raleigh, NC 27608
Oregon Corporations, Companies and Business Names WALGREEN CO. 300 Wilmot Road, Deerfield, IL 60015
New York State Corporations WALGREEN CO. 80 State Street, Albany, New York 12207-2543
Oklahoma Business Registrations WALGREEN CO. Attention Tax Department, 200 Wilmot Road, Deerfield, IL 60015

Office Location

Street Address 729 W HOUGHTON LAKE DR
City PRUDENVILLE
State MI
Zip Code 48651-8462

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609152644 David Bruce Cornell Pharmacist 729 W Houghton Lake Dr, Prudenville, MI 48651-8462 2011-10-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710469036 Stephenie Irish Behavior Technician Rise Center for Autism, 1840 West Houghton Lake Dr Unit 2, Prudenville, MI 48651 2018-09-04
1083965404 Mercy Physician Network Clinic/Center 2585 W Houghton Lake Drive, Prudenville, MI 48651 2012-09-25
1609976968 Kronner Pharmacy Inc Pharmacy 778 W Houghton Lake Dr, Prudenville, MI 48651 2006-09-25
1255352936 Mclaren Primary Care Family Medicine 200 N. Grand Ave, Prudenville, MI 48651 2006-07-21
1053381871 Marvin Earl Mcelroy Internal Medicine 1064 W West Branch Rd, Prudenville, MI 48651 2006-01-24
1598390080 Rhiannon Burch Behavior Technician Rise Center for Autism, 1070 W. Houghton Lake Drive, Prudenville, MI 48651 2020-03-05
1629357090 Mclaren Bay Region Nurse Practitioner 200 Grand Ave, Prudenville, MI 48651 2011-08-16
1427320894 Patricia Henning Caswell Counselor 1401 Short Dr., Prudenville, MI 48651-0019 2012-02-01
1023015104 Suzanne A Blanchard Nurse Practitioner 1401 Short Drive, Prudenville, MI 48651-0019 2005-07-05
1023640992 Julie Ignatowski Speech-Language Pathologist 847 Springwood Dr, Prudenville, MI 48651-8405 2020-02-10
Find all providers in zip 48651

Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

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 located.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1558961763 Dustyn Daniel Thoney Pharmacy 530 Harding Ave, Iron River, MI 49935-2265 2020-10-27
1497355697 Katherine Jane Cybulski Pharmacy 1310 Waukazoo St, Hastings, MI 49058-9559 2020-10-27
1043836042 Hanan Pharmacy LLC Pharmacy 4600 E 14 Mile Road, Suite 2, Warren, MI 48092-1057 2020-06-25
1770104192 Hazelwood Pharmacy LLC Pharmacy 624 E 9 Mile Rd Ste C, Hazel Park, MI 48030-1842 2020-04-27
1457980609 Berkley Pharmacy LLC Pharmacy 28577 Schoenherr Road, Warren, MI 48088 2020-04-08
1669012316 Warriors Pharmacy, Inc. Pharmacy 5265 Anthony Wayne Dr, Detroit, MI 48202-3947 2020-01-10
1457996662 Sunrise Pharmacy, LLC Pharmacy 989 University Dr Ste 104, Pontiac, MI 48342-1885 2019-11-12
1447894019 Nova Pharmacy Pharmacy 15140 Levan Rd, Suite 40, Livonia, MI 48154 2019-11-06
1912541673 Wayne Pharma Pharmacy 974 Ford Ave, Wyandotte, MI 48192 2019-11-05
1639720667 Grand Haven Pharmacy LLC Pharmacy 930 John R Rd Ste Pharmacy, Troy, MI 48083-4316 2019-09-20
Find all providers with the same taxonomy

Competitor

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City PRUDENVILLE
Zip Code 48651

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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