Waglreens #12572 is not a DME supplier for medicare equipments and products.
Waglreens #12572 is a Pharmacy in Reston, Virginia. This pharmacy is owned and operated by Walgreen Co. This organization is also known as sub part of Walgreen Co. It is located at 12000 Sunrise Valley Dr, Reston and it's customer support contact number is 703-476-6512. The authorized person of Waglreens #12572 is Mr. Kermit R Crawford who is President of the pharmacy and his contact number is 847-315-3154. Active license number of Waglreens #12572 is 0201004208 for Pharmacy in Virginia. Waglreens #12572 is 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.
Pharmacy Details:
Waglreens #12572 type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Waglreens #12572
Type:
Pharmacy
Location:
12000 Sunrise Valley Dr, Reston, Virginia, 20191-3403
Phone:
703-476-6512
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Mr. Kermit R Crawford
Position:
President
Contact Number:
847-315-3154
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1679758049
Parent Organization:
Walgreen Co
NPI Enumeration Date:
04 Jan, 2008
NPI Last Update On:
15 Dec, 2011
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Waglreens #12572 are as mentioned below.
Specialization
License Number
State
Status
Pharmacy
0201004208
Virginia
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Community/Retail Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1679758049
Medicaid
Virginia
4840701
Other
Ncpdp
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1901 E Voorhees St, M/s 790 Danville, Illinois
Zip:
61834-4509
Phone Number:
217-709-2386
Fax Number:
217-709-2344
Patients can reach Waglreens #12572 at 12000 Sunrise Valley Dr, Reston, Virginia or can call on customer care at 703-476-6512.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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