Walgreen Co
Pharmacy in Jensen Beach, FL. Organization (NPI-2).
NPI number1518974591
StatusActive
Last updated in NPPESMay 9, 2022
Details
- NPI
- 1518974591
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreen Co
- Organization subpart
- Yes
- Enumeration date
- Aug 2, 2006
- Certification date
- May 9, 2022
- Last updated
- May 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | PH0008374 | FL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Walgreens #06520 (Doing Business As)
Practice location
1250 Ne Jensen Beach BlvdJensen Beach, FL 34957-7222
Phone 772-334-5886
Mailing address
1901 E Voorhees StMs 790
Danville, IL 61834-4509
Phone 217-709-2351 · Fax 217-709-2344
Authorized official
Kira L Taylor
Manager
2177092351
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