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Walgreen Co

Pharmacy in Louisburg, NC. Organization (NPI-2).

NPI number1669639902
StatusActive
Last updated in NPPESNov 6, 2023

Details

NPI
1669639902
Entity type
Organization (NPI-2)
Legal business name
Walgreen Co
Organization subpart
Yes
Enumeration date
May 22, 2008
Certification date
Nov 6, 2023
Last updated
Nov 6, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Yes · DME SUPPLIER - PHARMACY
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X Pharmacy10133NCYes
332B00000X Durable Medical Equipment & Medical Supplies––
3336C0003X Pharmacy, Community/Retail Pharmacy––

Other names

  • Walgreens #11838 (Doing Business As)

Practice location

25 Burke Blvd
Louisburg, NC 27549-2478

Phone 919-496-2541 · Fax 919-496-7395

Mailing address

1901 E Voorhees St
Ms 790
Danville, IL 61834-4509

Phone 217-709-2351 · Fax 217-709-2344

Authorized official

Kira Taylor
Manager
2177092351

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 Louisburg, NC

All 5 Pharmacy providers in Louisburg · All 439 providers in Louisburg

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