Organization · Type 2 NPI

Walgreen Co

Pharmacy · O Fallon, IL

NPI number 1508871773 Active

Practice location

704 Cambridge Blvd
O Fallon, IL 62269-1964

Call (618) 632-6920 Map

Fax (618) 632-7228

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	54013844 (IL)
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…

11 other providers at this address

Other pharmacy providers in O Fallon

Highland Park Cvs, L.l.c.Pharmacy O Fallon, IL NPI 1245309194

See all in O Fallon →

NPI record

NPI: 1508871773
Entity type: Organization (Type 2)
Issued: Jul 29, 2006
Last updated: Apr 12, 2022
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Walgreens #04599 · doing business as
Walgreens #04599 · doing business as

Authorized official

Kira L 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 1508871773

Walgreen Co's National Provider Identifier is 1508871773, issued on Jul 29, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in O Fallon, IL. The record was last updated on Apr 12, 2022.