Organization · Type 2 NPI

Walgreen Co

Pharmacy · Shively, KY

NPI number 1235652264 Active

Practice location

4721 Dixie Hwy
Shively, KY 40216-2654

Call (217) 709-2386 Map

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	None listed
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…

5 other providers at this address

Other pharmacy providers in Shively

Walgreen CoPharmacy Shively, KY NPI 1447775077

See all in Shively →

NPI record

NPI: 1235652264
Entity type: Organization (Type 2)
Issued: Jul 21, 2017
Last updated: Jul 21, 2017
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Rite Aid #19534 · doing business as
Rite Aid #19534 · doing business as

Authorized official

Mr. Alan Nielsen
Assistant Treasurer
(847) 315-3523

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About NPI 1235652264

Walgreen Co's National Provider Identifier is 1235652264, issued on Jul 21, 2017. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Shively, KY. The record was last updated on Jul 21, 2017.