Organization · Type 2 NPI

Walgreen Co

Pharmacy · Fairfax, VA

NPI number 1245447390 Active

Practice location

10320 Main St
Fairfax, VA 22030-2410

Call (703) 591-1025 Map

Fax (703) 591-1090

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	0201004159 (VA)
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…

9 other providers at this address

Other pharmacy providers in Fairfax

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NPI record

NPI: 1245447390
Entity type: Organization (Type 2)
Issued: May 17, 2007
Last updated: Jul 26, 2024
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Walgreens #10712 · doing business as
Walgreens #10712 · doing business as

Authorized official

Virginia Garza
Manager
(217) 709-2364

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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 1245447390

Walgreen Co's National Provider Identifier is 1245447390, issued on May 17, 2007. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Fairfax, VA. The record was last updated on Jul 26, 2024.