Organization · Type 2 NPI

Walgreen Co

Pharmacy · Elizabethtown, KY

NPI number 1124033360 Active

Practice location

1602 N Dixie Ave
Elizabethtown, KY 42701-2682

Call (270) 737-3713 Map

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory	291U00000X	None listed
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	1841 (KY)
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

Joshua SpachmanPharmacist Elizabethtown, KY NPI 1124633862

Other pharmacy providers in Elizabethtown

See all in Elizabethtown →

NPI record

NPI: 1124033360
Entity type: Organization (Type 2)
Issued: Jul 29, 2006
Last updated: Jun 12, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

<unavail>
Walgreens #04123 · doing business as
Walgreens #04123 · doing business as

Authorized official

Virginia Garza
Manager
(217) 709-2364

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 1124033360

Walgreen Co's National Provider Identifier is 1124033360, issued on Jul 29, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Elizabethtown, KY. The record was last updated on Jun 12, 2026.