Organization · NPI-2

Walgreen Co

Pharmacy · Windsor, NC

NPI number1710313663
StatusActive
Last updated in NPPESJun 15, 2018

Details

NPI
1710313663
Entity type
Organization (NPI-2)
Legal business name
Walgreen Co
Organization subpart
Yes
Enumeration date
Sep 24, 2013
Last updated
Jun 15, 2018

Taxonomy and licenses

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

Other names

  • Walgreens #16175 (Doing Business As)

Practice location

119 Us Highway 13 Byp
Windsor, NC 27983-7118

Phone 252-794-9222

Mailing address

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

Phone 217-709-2386 · Fax 217-709-2344

Authorized official

Alyssa Sweeten
Manager
2177092386

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