Organization · Type 2 NPI

Walgreen Co.

Pharmacy · Lakeside, CA

NPI number 1306075890 Active

Practice location

9728 Winter Gardens Blvd
Lakeside, CA 92040-3809

Call (619) 938-0069 Map

Fax (619) 938-9565

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	PHY50052 (CA)
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…

6 other providers at this address

Other pharmacy providers in Lakeside

R & G Pharmacies, Inc.Pharmacy Lakeside, CA NPI 1922394915

See all in Lakeside →

NPI record

NPI: 1306075890
Entity type: Organization (Type 2)
Issued: Jul 7, 2009
Last updated: Jun 9, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

<unavail>
Walgreens #11990 · doing business as
Walgreens #11990 · doing business as

Authorized official

Kira L Taylor
Manager
(217) 709-2351

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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 1306075890

Walgreen Co.'s National Provider Identifier is 1306075890, issued on Jul 7, 2009. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Lakeside, CA. The record was last updated on Jun 9, 2026.