Organization · Type 2 NPI

Walgreen Co

Pharmacy · Raleigh, NC

NPI number 1144714601 Active

Practice location

123 Sunnybrook Rd Ste 150
Raleigh, NC 27610-3867

Call (919) 326-3395 Map

Fax (919) 326-3396

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	13809 (NC)
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

Ifedolapo M. O. Fasina, PharmDPharmacist Raleigh, NC NPI 1013686484

Other pharmacy providers in Raleigh

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NPI record

NPI: 1144714601
Entity type: Organization (Type 2)
Issued: Jun 19, 2018
Last updated: Nov 4, 2024
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

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Walgreens Specialty Pharmacy #21181 · doing business as

Authorized official

Jennifer Ponce
Manager
(847) 527-2489

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 1144714601

Walgreen Co's National Provider Identifier is 1144714601, issued on Jun 19, 2018. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Raleigh, NC. The record was last updated on Nov 4, 2024.