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Walgreen Co

Pharmacy in Fredericksburg, VA. Organization (NPI-2).

NPI number1952829194
StatusActive
Last updated in NPPESJun 3, 2022

Details

NPI
1952829194
Entity type
Organization (NPI-2)
Legal business name
Walgreen Co
Organization subpart
Yes
Enumeration date
Sep 8, 2017
Certification date
Jun 3, 2022
Last updated
Jun 3, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X Pharmacy0201004207VAYes
332B00000X Durable Medical Equipment & Medical Supplies––
3336C0003X Pharmacy, Community/Retail Pharmacy––

Other names

  • Walgreens #18211 (Doing Business As)

Practice location

11129 Gordon Rd
Fredericksburg, VA 22407-1714

Phone 540-785-6634 · Fax 540-785-6671

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

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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.

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