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RITE AID #19923
NPI 1366965329
Pharmacy in Horn Lake, MS

Active since July 21, 2017
3100 GOODMAN RD, HORN LAKE, MS 38637(217) 709-2386 Get Directions Write a Review

NPPES record last updated: June 15, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 15, 2018, May 22, 2018, Jan 20, 2018 and 2 more (5 updates tracked since 2017).

About Rite Aid #19923 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RITE AID #19923 (NPI 1366965329) is a healthcare organization registered as a pharmacy in Horn Lake, Mississippi and active in the NPI registry since July 2017. The organization lists Alyssa Sweeten, Manager, as its authorized official.

NPPES Registry Identity

NPI1366965329
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address3100 GOODMAN RDHorn Lake, MS 38637-1172
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344
Phone(217) 709-2386
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialAlyssa SweetenManager · (217) 709-2386
Enumeration DateJuly 21, 2017
Last NPPES UpdateJune 15, 20185 updates tracked since enumeration
✔ NPI 1366965329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
3100 GOODMAN RD, Horn Lake, MS 38637
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Other Names 1

Doing Business AsRite Aid #19923

Frequently Asked Questions

What is WALGREEN CO's NPI number?

The NPI number assigned to this healthcare provider is 1366965329, enumerated as an "organization" on July 21, 2017.

Where is the provider located?

The provider is located at 3100 GOODMAN RD HORN LAKE, MS 38637 and the phone number is (217) 709-2386.

What is the provider's specialty?

Pharmacy with taxonomy code 333600000X.