Organization · Type 2 NPI

Walgreen Co

Pharmacy · Macon, GA

NPI number 1083137889 Active

Practice location

892 Pierce Ave
Macon, GA 31204-1531

Call (478) 745-4295 Map

Fax (478) 745-8981

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	PHRE010590 (GA)
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…

Another provider at this address

Eleonor S. ConstantinoPharmacist Macon, GA NPI 1215236021

Other pharmacy providers in Macon

See all in Macon →

NPI record

NPI: 1083137889
Entity type: Organization (Type 2)
Issued: Jul 24, 2017
Last updated: Apr 27, 2018
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Rite Aid #11842 · doing business as
Rite Aid #11842 · doing business as

Authorized official

Alyssa Sweeten
Manager
(217) 709-2386

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 1083137889

Walgreen Co's National Provider Identifier is 1083137889, issued on Jul 24, 2017. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Macon, GA. The record was last updated on Apr 27, 2018.