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Walgreen Co

Pharmacy in Sacramento, CA. Organization (NPI-2).

NPI number1104831486
StatusActive
Last updated in NPPESJun 8, 2026

Details

NPI
1104831486
Entity type
Organization (NPI-2)
Legal business name
Walgreen Co
Organization subpart
Yes
Enumeration date
Jul 29, 2006
Certification date
Jun 8, 2026
Last updated
Jun 8, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X PharmacyPHY44891CAYes
3336C0003X Pharmacy, Community/Retail Pharmacy––
332B00000X Durable Medical Equipment & Medical Supplies––

Other names

  • Walgreens #05500 (Doing Business As)

Practice location

4331 Antelope Rd
Sacramento, CA 95843-6022

Phone 916-722-3304 · Fax 916-722-1845

Mailing address

1901 E Voorhees St # Ms 790
Danville, IL 61834-4509

Phone 217-709-2351 · Fax 217-709-2344

Authorized official

Kira L Taylor
Manager
2177092351

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