Organization · Type 2 NPI

Walgreen Co

Pharmacy · Fort Worth, TX

NPI number 1184631129 Active

Practice location

6346 Camp Bowie Blvd
Fort Worth, TX 76116-5408

Call (817) 377-9095 Map

Fax (817) 377-9092

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory	291U00000X	None listed
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	18955 (TX)
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…

4 other providers at this address

Other pharmacy providers in Fort Worth

See all in Fort Worth →

NPI record

NPI: 1184631129
Entity type: Organization (Type 2)
Issued: Aug 2, 2006
Last updated: Sep 8, 2025
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Walgreens #04314 · doing business as
Walgreens #04314 · 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.

Is this your record? How to update it.

About NPI 1184631129

Walgreen Co's National Provider Identifier is 1184631129, issued on Aug 2, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Fort Worth, TX. The record was last updated on Sep 8, 2025.