Organization · Type 2 NPI

Walgreen Co.

Pharmacy · Gainesville, FL

NPI number 1104763408 Active

Practice location

4340 Newberry Rd Ste 204
Gainesville, FL 32607-2557

Fax (352) 327-4027

Mailing address

1901 E Voorhees Street, Ms 790
Danville, IL 61834

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Pharmacy Primary 333600000XNone listed
Community/Retail Pharmacy 3336C0003XNone 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…

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About NPI 1104763408

Walgreen Co.'s National Provider Identifier is 1104763408, issued on May 4, 2026. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Gainesville, FL. The record was last updated on May 5, 2026.