Walgreen Co
Pharmacy in Theodore, AL. Organization (NPI-2).
NPI number1235652249
StatusActive
Last updated in NPPESFeb 16, 2022
Details
- NPI
- 1235652249
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreen Co
- Organization subpart
- Yes
- Enumeration date
- Jul 21, 2017
- Certification date
- Feb 16, 2022
- Last updated
- Feb 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 105790 | AL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Walgreens #19176 (Doing Business As)
Practice location
7301 Theodore Dawes RdTheodore, AL 36582-4029
Phone 251-653-9831 · Fax 251-653-5477
Mailing address
1901 E Voorhees St # Ms 790Danville, IL 61834-4509
Phone 217-709-2386 · Fax 217-709-2344
Authorized official
Kira Taylor
Manager
2177092351
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