Organization · Type 2 NPI

Walgreen Co

Pharmacy · O Fallon, MO

NPI number 1447428347 Active

Practice location

4650 Hwy K
O Fallon, MO 63368-8728

Call (636) 329-9163 Map

Fax (636) 329-9605

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	2008025007 (MO)

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…

Other pharmacy providers in O Fallon

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NPI record

NPI: 1447428347
Entity type: Organization (Type 2)
Issued: Feb 13, 2008
Last updated: Nov 9, 2023
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Walgreens #11422 · doing business as
Walgreens #11422 · 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 1447428347

Walgreen Co's National Provider Identifier is 1447428347, issued on Feb 13, 2008. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in O Fallon, MO. The record was last updated on Nov 9, 2023.