Walgreen Co.
Pharmacy in Forest, VA. Organization (NPI-2).
NPI number1417023375
StatusActive
Last updated in NPPESAug 17, 2016
Details
- NPI
- 1417023375
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreen Co.
- Organization subpart
- Yes
- Enumeration date
- Nov 24, 2006
- Last updated
- Aug 17, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 0201003987 | VA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Walgreens #10105 (Doing Business As)
Practice location
17421 Forest RdForest, VA 24551-5020
Phone 434-316-5403
Mailing address
1901 E Voorhees StM/S 790
Danville, IL 61834-4509
Phone 217-709-2386 · Fax 217-709-2344
Authorized official
Alan T Nielsen
Treasurer
8473153523
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