Walgreen Co
Pharmacy in Henderson, KY. Organization (NPI-2).
NPI number1760905798
StatusActive
Last updated in NPPESFeb 13, 2023
Details
- NPI
- 1760905798
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreen Co
- Organization subpart
- Yes
- Enumeration date
- Jul 21, 2017
- Certification date
- Feb 13, 2023
- Last updated
- Feb 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | – | – | Yes |
| 291U00000X | Clinical Medical Laboratory | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Walgreens #19857 (Doing Business As)
Practice location
1355 2nd StHenderson, KY 42420-3357
Phone 270-827-9857 · Fax 270-826-8377
Mailing address
1901 E Voorhees StMs 790
Danville, IL 61834-4509
Phone 217-709-2351 · Fax 217-709-2344
Authorized official
Kira Taylor
Manager
2177092351
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