Organization · Type 2 NPI

Walgreen Co

Pharmacy · Jacksonville, FL

NPI number 1003086380 Active

Practice location

12387 Yellow Bluff Rd
Jacksonville, FL 32226-2025

Call (904) 751-2744 Map

Fax (904) 751-7524

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	PH23375 (FL)
Community/Retail Pharmacy	3336C0003X	None listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

6 other providers at this address

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NPI record

NPI: 1003086380
Entity type: Organization (Type 2)
Issued: Mar 3, 2008
Last updated: Jul 29, 2024
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

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Walgreens 09479 · doing business as
Walgreens 09479 · doing business as

Authorized official

Virginia Garza
Manager
(217) 709-2364

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003086380

Walgreen Co's National Provider Identifier is 1003086380, issued on Mar 3, 2008. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 29, 2024.