Organization · Type 2 NPI

Walgreen Co

Pharmacy · Beaver Dam, WI

NPI number 1124210166 Active

Practice location

607 Park Ave
Beaver Dam, WI 53916-2201

Fax (920) 356-0401

Mailing address

1901 E Voorhees St, Ms 790
Danville, IL 61834-4515

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Pharmacy Primary 333600000X8776-042 (WI)
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 1124210166

Walgreen Co's National Provider Identifier is 1124210166, issued on Aug 14, 2007. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Beaver Dam, WI. The record was last updated on Jan 12, 2026.