Organization · Type 2 NPI

Walgreen Co

Pharmacy · Kingsport, TN

NPI number 1376876904 Active

Practice location

2790 E Stone Dr
Kingsport, TN 37660-5849

Call (423) 288-9286 Map

Fax (423) 288-9753

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	4696 (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 Kingsport

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NPI record

NPI: 1376876904
Entity type: Organization (Type 2)
Issued: Sep 15, 2009
Last updated: Oct 9, 2024
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Walgreens #12934 · doing business as
Walgreens #12934 · 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 1376876904

Walgreen Co's National Provider Identifier is 1376876904, issued on Sep 15, 2009. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Kingsport, TN. The record was last updated on Oct 9, 2024.