RITE AID #16585 - NPI 1770006058 - Pharmacy in Lewiston, ID

Q: What is the provider's specialty?

The provider's specialty is Pharmacy with taxonomy code 333600000X.

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About Rite Aid #16585 NPPES

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

RITE AID #16585 (NPI 1770006058) is a healthcare organization registered as a pharmacy in Lewiston, Idaho and active in the NPI registry since July 2017. The organization lists Alan Nielsen, Assistant Treasurer, as its authorized official.

NPPES Registry Identity

NPI1770006058

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address1904 19TH AVELewiston, ID 83501-4069

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 OfficialAlan NielsenAssistant Treasurer · (847) 315-3523

Enumeration DateJuly 19, 2017

✔ NPI 1770006058 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

1904 19TH AVE, Lewiston, ID 83501

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