Organization · Type 2 NPI

Walgreen Co

Pharmacy · Fort Myers, FL

NPI number 1174862858 Active

Practice location

3501 Unique Cir
Fort Myers, FL 33908-4711

Call (239) 271-3924 Map

Fax (239) 437-1508

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	PH26778 (FL)
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

Ryan Daniel BuyeaPharmacist Fort Myers, FL NPI 1538678552

Other pharmacy providers in Fort Myers

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NPI record

NPI: 1174862858
Entity type: Organization (Type 2)
Issued: Jan 31, 2013
Last updated: Jun 25, 2025
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Walgreens #11535 · doing business as
Walgreens #11535 · 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 1174862858

Walgreen Co's National Provider Identifier is 1174862858, issued on Jan 31, 2013. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Fort Myers, FL. The record was last updated on Jun 25, 2025.