Organization · Type 2 NPI

Walgreen Co

Pharmacy · East St. Louis, IL

NPI number 1174538359 Active

Practice location

2510 State St
East St. Louis, IL 62205-2323

Fax (618) 875-7434

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 333600000X54014070 (IL)
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…

5 other providers at this address

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About NPI 1174538359

Walgreen Co's National Provider Identifier is 1174538359, issued on Jul 29, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in East St. Louis, IL. The record was last updated on Jan 10, 2026.