Walgreen Co
Pharmacy in Lynwood, CA. Organization (NPI-2).
NPI number1508871831
StatusActive
Last updated in NPPESJun 9, 2026
Details
- NPI
- 1508871831
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreen Co
- Organization subpart
- Yes
- Enumeration date
- Jul 29, 2006
- Certification date
- Jun 9, 2026
- Last updated
- Jun 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | PHY46259 | CA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Walgreens #06249 (Doing Business As)
Practice location
4351 E Imperial HwyLynwood, CA 90262-2318
Phone 310-609-2406
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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