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Walgreen Co

Pharmacy in San Antonio, TX. Organization (NPI-2).

NPI number1285649210
StatusActive
Last updated in NPPESFeb 28, 2023

Details

NPI
1285649210
Entity type
Organization (NPI-2)
Legal business name
Walgreen Co
Organization subpart
Yes
Enumeration date
Jul 29, 2006
Certification date
Feb 28, 2023
Last updated
Feb 28, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X Pharmacy17579TXYes
291U00000X Clinical Medical Laboratory––
332B00000X Durable Medical Equipment & Medical Supplies––
3336C0003X Pharmacy, Community/Retail Pharmacy––

Other names

  • Walgreens #04160 (Doing Business As)

Practice location

2200 E Houston St
San Antonio, TX 78202-3007

Phone 210-354-3993 · Fax 210-354-2496

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

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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