Healthcare Provider Details

I. General information

NPI: 1497294599
Provider Name (Legal Business Name): WALGREENS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2017
Last Update Date: 02/22/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 EAGLEVIEW BLVD
EXTON PA
19341-1157
US

IV. Provider business mailing address

200 EAGLEVIEW BLVD
EXTON PA
19341-1157
US

V. Phone/Fax

Practice location:
  • Phone: 610-594-3967
  • Fax:
Mailing address:
  • Phone: 610-594-3967
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: PATRICK SCHAPPELL
Title or Position: DISTRICT MANAGER
Credential:
Phone: 215-450-0694