Organization Name: | WALGREEN OF SAN PATRICIO INC |
NPI Number: | 1245270420 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONALD C HUONKER (CORPORATE VICE PRESIDENT) |
Mailing Address: | Calle 1 & Carr 3 Loiza |
State: | PR US |
Postal Code: | 00627 |
Phone Number: | 7872562626 |
Fax Number: | |
NPI Enumeration Date: | 06/07/2006 |
NPI Last Update Date: | 09/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |