Organization · Type 2 NPI

Walgreen Co

Pharmacy · Tuscaloosa, AL

NPI number 1083971790 Active

Practice location

1520 Mcfarland Blvd N, Ste B
Tuscaloosa, AL 35406-2285

Call (205) 759-1501 Map

Fax (205) 349-1077

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	113924 (AL)
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

Debra Crocker Burroughs, RPHPharmacist Tuscaloosa, AL NPI 1467063503

Other pharmacy providers in Tuscaloosa

See all in Tuscaloosa →

NPI record

NPI: 1083971790
Entity type: Organization (Type 2)
Issued: Apr 19, 2012
Last updated: Jun 3, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

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Jim Myers, A Walgreens Pharmacy #15449 · doing business as
Jim Myers, A Walgreens Pharmacy #15449 · doing business as

Authorized official

Kira 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.

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About NPI 1083971790

Walgreen Co's National Provider Identifier is 1083971790, issued on Apr 19, 2012. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Tuscaloosa, AL. The record was last updated on Jun 3, 2026.