Organization · Type 2 NPI

Walgreen Co

Pharmacy · Manassas, VA

NPI number 1407082043 Active

Practice location

10671 Sudley Manor Dr
Manassas, VA 20109-2844

Call (703) 257-2894 Map

Fax (703) 361-2315

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	0201004298 (VA)

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…

Another provider at this address

Edward Milenski, RPHPharmacist Manassas, VA NPI 1336423615

Other pharmacy providers in Manassas

See all in Manassas →

NPI record

NPI: 1407082043
Entity type: Organization (Type 2)
Issued: Jun 10, 2009
Last updated: Oct 30, 2023
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Walgreens #11234 · doing business as
Walgreens #11234 · doing business as

Authorized official

Kira Taylor
Manager
(217) 709-2351

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.

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About NPI 1407082043

Walgreen Co's National Provider Identifier is 1407082043, issued on Jun 10, 2009. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Manassas, VA. The record was last updated on Oct 30, 2023.