Organization · Type 2 NPI

Walgreen Co

Pharmacy · Houston, MO

NPI number 1225174071 Active

Practice location

100 N Grand Ave
Houston, MO 65483-1222

Call (417) 967-3315 Map

Fax (417) 967-8205

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	2017006065 (MO)
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…

6 other providers at this address

NPI record

NPI: 1225174071
Entity type: Organization (Type 2)
Issued: Jan 29, 2007
Last updated: May 2, 2022
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Forbes Pharmacy #15722, Powered By Walgreens · doing business as
Forbes Pharmacy #15722, Powered By Walgreens · doing business as

Authorized official

Kira Taylor
Manager
(217) 709-2351

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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 1225174071

Walgreen Co's National Provider Identifier is 1225174071, issued on Jan 29, 2007. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Houston, MO. The record was last updated on May 2, 2022.