Organization · Type 2 NPI

Walgreen Co

Pharmacy · Maryville, TN

NPI number 1356730725 Active

Practice location

1810 Robert C Jackson Dr
Maryville, TN 37801-3788

Call (865) 982-9235 Map

Fax (865) 982-0416

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	00005534 (TN)
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…

4 other providers at this address

Other pharmacy providers in Maryville

See all in Maryville →

NPI record

NPI: 1356730725
Entity type: Organization (Type 2)
Issued: Jan 22, 2015
Last updated: Jun 5, 2024
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
DFHC Pharmacy · doing business as
DFHC Pharmacy · doing business as

Authorized official

Virginia Garza
Manager
(217) 709-2364

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 1356730725

Walgreen Co's National Provider Identifier is 1356730725, issued on Jan 22, 2015. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Maryville, TN. The record was last updated on Jun 5, 2024.