Walgreen Co
Pharmacy in Fort Oglethorpe, GA. Organization (NPI-2).
NPI number1457584559
StatusActive
Last updated in NPPESFeb 11, 2026
Details
- NPI
- 1457584559
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreen Co
- Organization subpart
- Yes
- Enumeration date
- Aug 24, 2009
- Certification date
- Feb 11, 2026
- Last updated
- Feb 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | PHRE009606 | GA | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Walgreens #12921 (Doing Business As)
Practice location
3625 Battlefield PkwyFort Oglethorpe, GA 30742-4014
Phone 706-866-1839 · Fax 706-866-1845
Mailing address
1901 E Voorhees StMs 790
Danville, IL 61834-4515
Phone 847-527-2489 · Fax 217-709-2344
Authorized official
Jennifer Ponce
Manager
8475272489
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 Fort Oglethorpe, GA
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.