Walgreen Co
Pharmacy in Memphis, TN. Organization (NPI-2).
NPI number1285641282
StatusActive
Last updated in NPPESOct 9, 2024
Details
- NPI
- 1285641282
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreen Co
- Organization subpart
- Yes
- Enumeration date
- Aug 2, 2006
- Certification date
- Oct 9, 2024
- Last updated
- Oct 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | C2388 | TN | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Walgreens #13108 (Doing Business As)
Practice location
2655 Frayser BlvdMemphis, TN 38127-4832
Phone 901-353-0639 · Fax 901-353-2198
Mailing address
1901 E Voorhees StMs #790
Danville, IL 61834-4509
Phone 847-527-2489 · Fax 217-709-2344
Authorized official
Jennifer Ponce
Manager
8475272489
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