Organization · Type 2 NPI

Walgreen Co

Pharmacy · San Jose, CA

NPI number 1144235474 Active

Practice location

1760 Story Rd
San Jose, CA 95122-1921

Call (408) 251-9853 Map

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	PHY34170 (CA)
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

Zheng GongPharmacist San Jose, CA NPI 1093097974

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NPI record

NPI: 1144235474
Entity type: Organization (Type 2)
Issued: Jul 29, 2006
Last updated: Oct 27, 2023
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Walgreens #02081 · doing business as
Walgreens #02081 · doing business as

Authorized official

Kira L Taylor
Manager
(217) 709-2351

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 1144235474

Walgreen Co's National Provider Identifier is 1144235474, issued on Jul 29, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in San Jose, CA. The record was last updated on Oct 27, 2023.