Organization · Type 2 NPI

Walgreen Co

Pharmacy · Daytona Beach, FL

NPI number 1285116491 Active

Practice location

1348 W International Speedway Blvd Ste 2
Daytona Beach, FL 32114

Call (386) 682-2650 Map

Fax (386) 682-2651

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…

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NPI record

NPI: 1285116491
Entity type: Organization (Type 2)
Issued: Sep 4, 2018
Last updated: Nov 6, 2024
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

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Walgreens Specialty Pharmacy #21198 · doing business as

Authorized official

Jennifer Ponce
Manager
(847) 527-2489

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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 1285116491

Walgreen Co's National Provider Identifier is 1285116491, issued on Sep 4, 2018. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Daytona Beach, FL. The record was last updated on Nov 6, 2024.