Organization · Type 2 NPI

Walgreen Co

Pharmacy · Centerville, GA

NPI number 1124543434 Active

Practice location

2900 Watson Blvd
Centerville, GA 31028-1771

Call (478) 953-2006 Map

Fax (478) 953-9425

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	PHRE010593 (GA)
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…

7 other providers at this address

NPI record

NPI: 1124543434
Entity type: Organization (Type 2)
Issued: Aug 8, 2017
Last updated: Apr 27, 2018
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Rite Aid #11838 · doing business as
Rite Aid #11838 · doing business as

Authorized official

Alyssa Sweeten
Manager
(217) 709-2386

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 1124543434

Walgreen Co's National Provider Identifier is 1124543434, issued on Aug 8, 2017. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Centerville, GA. The record was last updated on Apr 27, 2018.