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Walgreen Co

Pharmacy in Kissimmee, FL. Organization (NPI-2).

NPI number1215944293
StatusActive
Last updated in NPPESMay 9, 2022

Details

NPI
1215944293
Entity type
Organization (NPI-2)
Legal business name
Walgreen Co
Organization subpart
Yes
Enumeration date
Aug 2, 2006
Certification date
May 9, 2022
Last updated
May 9, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X PharmacyPH0008880FLYes
332B00000X Durable Medical Equipment & Medical Supplies––
3336C0003X Pharmacy, Community/Retail Pharmacy––

Other names

  • Walgreens #06486 (Doing Business As)

Practice location

1111 W Vine St
Kissimmee, FL 34741-4168

Phone 407-847-5252

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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