Organization · Type 2 NPI

Walgreen Co

Community/Retail Pharmacy · Colorado Springs, CO

NPI number 1104116599 Active

Practice location

4470 Royal Pine Dr
Colorado Springs, CO 80920-2829

Call (719) 445-4160 Map

Fax (719) 445-4166

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	None listed
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 …

5 other providers at this address

Other community/retail pharmacy providers in Colorado Springs

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NPI record

NPI: 1104116599
Entity type: Organization (Type 2)
Issued: Apr 19, 2011
Last updated: Oct 15, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

<unavail>
Walgreens #11477 · doing business as
Walgreens #11477 · 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 1104116599

Walgreen Co's National Provider Identifier is 1104116599, issued on Apr 19, 2011. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Colorado Springs, CO. The record was last updated on Oct 15, 2026.