Walgreens
Organization Active NPI Pharmacist · Ontario, OR
NPI 1689059263 · NPPES record last updated Jul 24, 2015
Key facts
- NPI
- 1689059263
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacist 183500000X
- License
- 11562 (OR)
- Legal business name
- WALGREENS
- Practice address
- 65 SE Goodfellow St
Ontario, OR 97914-3016 - Phone
- (541) 889-6288
- NPI assigned
- Jul 24, 2015
- Organization subpart
- No
Authorized official
- Name
- Mr. David Robertson
- Title
- Store Manager
- Phone
- (541) 889-6288
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Walgreen Co
Locations
65 SE Goodfellow St
Ontario, OR 97914
Phone (541) 889-6288
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | 11562 | OR | Yes |
| Pharmacist |
183500000X | P4856 | ID | |
| Pharmacist |
183500000X | 27850 | MT | |
| Pharmacist |
183500000X | 17778 | NV | |
| Pharmacist |
183500000X | RP00006714 | NM | |
| Pharmacist |
183500000X | 29779 | TX |
Addresses
Primary practice location
65 SE Goodfellow St
Ontario, OR 97914-3016
Mailing address
65 SE Goodfellow St
Ontario, OR 97914-3016
Phone (541) 889-6288
Other providers in Ontario, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.