Walgreen Co
Pharmacy in Crestview, FL. Organization (NPI-2).
NPI number1285649467
StatusActive
Last updated in NPPESJun 19, 2024
Details
- NPI
- 1285649467
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreen Co
- Organization subpart
- Yes
- Enumeration date
- Jul 29, 2006
- Certification date
- Jun 19, 2024
- Last updated
- Jun 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | PH18513 | FL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Walgreens #06811 (Doing Business As)
Practice location
2350 S Ferdon BlvdCrestview, FL 32536-8461
Phone 850-689-0447
Mailing address
1901 E Voorhees StMs 790
Danville, IL 61834-4509
Phone 217-709-2364 · Fax 217-709-2344
Authorized official
Virginia Garza
Manager
2177092364
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.
Other Pharmacy providers in Crestview, FL
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.