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Walgreen Co

Pharmacy in Austin, TX. Organization (NPI-2).

NPI number1477568533
StatusActive
Last updated in NPPESFeb 22, 2023

Details

NPI
1477568533
Entity type
Organization (NPI-2)
Legal business name
Walgreen Co
Organization subpart
Yes
Enumeration date
Jul 29, 2006
Certification date
Feb 22, 2023
Last updated
Feb 22, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X Pharmacy22812TXYes
291U00000X Clinical Medical Laboratory––
332B00000X Durable Medical Equipment & Medical Supplies––
3336C0003X Pharmacy, Community/Retail Pharmacy––

Other names

  • Walgreens #07673 (Doing Business As)

Practice location

10600 W Parmer Ln
Austin, TX 78717-4627

Phone 512-238-7124 · Fax 512-218-9087

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

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