Organization · Type 2 NPI

Walgreen Co

Pharmacy · Port Charlotte, FL

NPI number 1255654711 Active

Practice location

3001 Tamiami Trl
Port Charlotte, FL 33952-6601

Call (941) 235-6399 Map

Fax (941) 235-1050

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	PH24716 (FL)
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…

3 other providers at this address

Other pharmacy providers in Port Charlotte

See all in Port Charlotte →

NPI record

NPI: 1255654711
Entity type: Organization (Type 2)
Issued: Mar 11, 2010
Last updated: Apr 5, 2022
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Walgreens #12698 · doing business as
Walgreens #12698 · doing business as

Authorized official

Kira Taylor
Manager
(217) 709-2351

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.

Is this your record? How to update it.

About NPI 1255654711

Walgreen Co's National Provider Identifier is 1255654711, issued on Mar 11, 2010. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Port Charlotte, FL. The record was last updated on Apr 5, 2022.