Organization · Type 2 NPI

Walgreen Co

Pharmacy · Lorton, VA

NPI number 1053661876 Active

Practice location

9372 Richmond Hwy
Lorton, VA 22079-1827

Call (571) 642-0103 Map

Fax (571) 642-0381

Mailing address

1901 E Voorhees St # Ms 790
Danville, IL 61834-4515

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	0201004487 (VA)
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

Other pharmacy providers in Lorton

Walgreen CoPharmacy Lorton, VA NPI 1154849396

See all in Lorton →

NPI record

NPI: 1053661876
Entity type: Organization (Type 2)
Issued: Sep 19, 2012
Last updated: Jun 25, 2025
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Walgreens #11525 · doing business as
Walgreens #11525 · doing business as

Authorized official

Jennifer Ponce
Manager
(847) 527-2489

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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 1053661876

Walgreen Co's National Provider Identifier is 1053661876, issued on Sep 19, 2012. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Lorton, VA. The record was last updated on Jun 25, 2025.