Local City Search for Medical Equipment Suppliers WALGREENS SPECIALTY PHARMACY LLC
Specialty Pharmacy
Beaverton, Oregon
Provider NPI: 1669668752
Organization Information:Organization Name: WALGREENS SPECIALTY PHARMACY LLC
Practice Location:
9775 SW GEMINI DR STE 1 BEAVERTON, OR 97008 US
Tel: 866-202-4014 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
9775 SW GEMINI DR STE 1 BEAVERTON, OR 97008 US
Tel: 866-202-4014 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 3336H0001X | Suppliers Pharmacy Home Infusion Therapy Pharmacy | ||
| N | 3336S0011X | Suppliers Pharmacy | ||
| Y | 333600000X | Suppliers Pharmacy | OR | RP-0002419 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 1669668752 | ID | 05 | |
| 320618 | AZ | 05 | |
| NCPDP | 3842944 | 01 | |
| 0216467 | OH | 05 | |
| 1669668752 | UT | 05 | |
| 1669668752 | MT | 05 | |
| 1669668752 | IA | 05 | |
| 3842944 | TN | 05 | |
| 1092434 | WA | 05 | |
| 1669668752 | VA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
