Organization · Type 2 NPI

Walgreen Co

Pharmacy · Maple Grove, MN

NPI number 1124033436 Active

Practice location

13611 Grove Dr
Maple Grove, MN 55311-4405

Fax (763) 416-4057

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 333600000X260382 (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…

2 other providers at this address

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About NPI 1124033436

Walgreen Co's National Provider Identifier is 1124033436, issued on Jul 29, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Maple Grove, MN. The record was last updated on Oct 15, 2026.