Walgreen Co
Pharmacy in Titusville, FL. Organization (NPI-2).
NPI number1245246735
StatusActive
Last updated in NPPESFeb 10, 2026
Details
- NPI
- 1245246735
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreen Co
- Organization subpart
- Yes
- Enumeration date
- Aug 1, 2006
- Certification date
- Feb 10, 2026
- Last updated
- Feb 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | PH0001581 | FL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Walgreens #04644 (Doing Business As)
Practice location
4600 S Washington AveTitusville, FL 32780-7339
Phone 321-269-7573
Mailing address
1901 E Voorhees StMs 790
Danville, IL 61834-4515
Phone 847-527-2489 · Fax 217-709-2344
Authorized official
Jennifer Ponce
Manager
8475272489
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All 8 Pharmacy providers in Titusville · All 1,166 providers in Titusville
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