Organization · Type 2 NPI

Walgreen Co

Mail Order Pharmacy · Northlake, TX

NPI number 1366028995 Active

Practice location

4100 Dale Earnhardt Way Ste 200
Northlake, TX 76262-2389

Call (817) 859-1400 Map

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	333600000X	None listed
Mail Order Pharmacy Primary	3336M0002X	None listed

Mail Order Pharmacy: A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical c…

7 other providers at this address

Other mail order pharmacy providers in Northlake

Strategic Pharmaceutical Solutions, Inc. dba Vetsource Home DeliveryMail Order Pharmacy Northlake, TX NPI 1245085174

See all in Northlake →

NPI record

NPI: 1366028995
Entity type: Organization (Type 2)
Issued: Mar 23, 2021
Last updated: Oct 5, 2023
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

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Walgreens #21373 · doing business as
Walgreens #21373 · doing business as

Authorized official

Kira 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 1366028995

Walgreen Co's National Provider Identifier is 1366028995, issued on Mar 23, 2021. The primary taxonomy on file is Mail Order Pharmacy (3336M0002X), and the practice location is in Northlake, TX. The record was last updated on Oct 5, 2023.