Organization · Type 2 NPI

Walgreen Co

Pharmacy · Tifton, GA

NPI number 1205016771 Active

Practice location

615 Love Ave
Tifton, GA 31794-4405

Fax (229) 382-5231

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 333600000XPHRE009426 (GA)
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…

4 other providers at this address

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About NPI 1205016771

Walgreen Co's National Provider Identifier is 1205016771, issued on Nov 13, 2007. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Tifton, GA. The record was last updated on Aug 6, 2025.