Organization · Type 2 NPI

Walgreen Co

Pharmacy · Forest Lake, MN

NPI number 1114932340 Active

Practice location

1207 W Broadway Ave
Forest Lake, MN 55025-1418

Mailing address

1901 E Voorhees St # Ms 790
Danville, IL 61834-4509

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Pharmacy Primary 333600000X262334 (MN)
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…

4 other providers at this address

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About NPI 1114932340

Walgreen Co's National Provider Identifier is 1114932340, issued on Jul 29, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Forest Lake, MN. The record was last updated on Oct 15, 2026.