Walgreen Co
Pharmacy, Community/Retail Pharmacy in Louisville, CO. Organization (NPI-2).
NPI number1285649525
StatusActive
Last updated in NPPESOct 27, 2023
Details
- NPI
- 1285649525
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreen Co
- Organization subpart
- Yes
- Enumeration date
- Jul 29, 2006
- Certification date
- Oct 27, 2023
- Last updated
- Oct 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | 810000001 | CO |
Other names
- Walgreens #01286 (Doing Business As)
Practice location
655 S Boulder RdLouisville, CO 80027-1328
Phone 303-666-6051 · Fax 303-664-1649
Mailing address
1901 E Voorhees St # Ms 790Danville, IL 61834-4509
Phone 217-709-2351 · Fax 217-709-2344
Authorized official
Kira L Taylor
Manager
2177092351
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