Organization · Type 2 NPI

Walgreen Co

Pharmacy · Marietta, GA

NPI number 1245753052 Active

Practice location

2833 Canton Rd
Marietta, GA 30066-5439

Call (770) 425-1215 Map

Fax (770) 792-7137

Mailing address

1901 E Voorhees St # Ms 790
Danville, IL 61834-4509

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site	332900000X	None listed
Pharmacy Primary	333600000X	PHRE010521 (GA)
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…

Another provider at this address

John O'Neal, PHARMACISTPharmacist Marietta, GA NPI 1013214121

Other pharmacy providers in Marietta

See all in Marietta →

NPI record

NPI: 1245753052
Entity type: Organization (Type 2)
Issued: Jul 24, 2017
Last updated: Apr 30, 2018
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Rite Aid #11717 · doing business as
Rite Aid #11717 · doing business as

Authorized official

Alyssa Sweeten
Manager
(217) 709-2386

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.

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About NPI 1245753052

Walgreen Co's National Provider Identifier is 1245753052, issued on Jul 24, 2017. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Marietta, GA. The record was last updated on Apr 30, 2018.