Walgreen Co
Pharmacy in Copperas Cove, TX. Organization (NPI-2).
NPI number1124211065
StatusActive
Last updated in NPPESJun 25, 2025
Details
- NPI
- 1124211065
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreen Co
- Organization subpart
- Yes
- Enumeration date
- Aug 23, 2007
- Certification date
- Jun 25, 2025
- Last updated
- Jun 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 25712 | TX | Yes |
| 291U00000X | Clinical Medical Laboratory | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Walgreens #11273 (Doing Business As)
Practice location
527 E Business 190Copperas Cove, TX 76522-2915
Phone 254-547-1630 · Fax 254-547-7246
Mailing address
1901 E Voorhees St # 790Danville, IL 61834-4515
Phone 847-527-2489 · Fax 217-709-2344
Authorized official
Jennifer Ponce
Manager
8475272489
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