Contract Details
Facility name
Walgreens Infusion Pharmacy
Provider ID
P000002072
NPI
1225127913
Tax ID
611249170
Effective Date
9/1/2002
Last Updated
8/19/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_073
Location Details
Address
140 Oxmoor Boulevard Suite 140
Birmingham, AL 35209
United States
County
Jefferson
Phone
8888409407 (Phone)
Billing Details
Address
11403 Bluegrass Parkway
Suite 400
Louisville, KY 40299
Billing Phone
8003040123
Specialty Type
Home Infusion
Map
Address