Walgreen Co
Pharmacy in Willingboro, NJ. Organization (NPI-2).
NPI number1902811896
StatusActive
Last updated in NPPESAug 21, 2026
Details
- NPI
- 1902811896
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreen Co
- Organization subpart
- Yes
- Enumeration date
- Jul 29, 2006
- Certification date
- Aug 21, 2026
- Last updated
- Aug 21, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 28RS00599800 | NJ | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Walgreens #05987 (Doing Business As)
Practice location
4296 Route 130Willingboro, NJ 08046
Phone 609-871-9017 · Fax 609-871-7962
Mailing address
1901 E Voorhees StMs #790
Danville, IL 61834-4509
Phone 217-709-2364 · Fax 217-709-2344
Authorized official
Virginia Garza
Manager
2177092364
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