Organization · Type 2 NPI

Walgreen Co

Community/Retail Pharmacy · Pueblo, CO

NPI number 1023023389 Active

Practice location

1520 W 4th St
Pueblo, CO 81004-1207

Call (719) 404-0065 Map

Fax (719) 404-0072

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	333600000X	597 (CO)
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

7 other providers at this address

Other community/retail pharmacy providers in Pueblo

See all in Pueblo →

NPI record

NPI: 1023023389
Entity type: Organization (Type 2)
Issued: Jul 29, 2006
Last updated: Oct 15, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

<unavail>
Walgreens #09568 · doing business as
Walgreens #09568 · doing business as

Authorized official

Kira L Taylor
Manager
(217) 709-2351

Verify this record

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.

Is this your record? How to update it.

About NPI 1023023389

Walgreen Co's National Provider Identifier is 1023023389, issued on Jul 29, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Pueblo, CO. The record was last updated on Oct 15, 2026.