Organization · Type 2 NPI

Walgreen Co

Pharmacy · Jackson, TN

NPI number 1548474133 Active

Practice location

601 Skyline Dr
Jackson, TN 38301-3911

Call (731) 423-1131 Map

Fax (731) 422-1703

Mailing address

1901 E Voorhees St, Ms 790
Danville, IL 61834-4515

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	2915 (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 Jackson

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NPI record

NPI: 1548474133
Entity type: Organization (Type 2)
Issued: May 10, 2007
Last updated: Jan 30, 2026
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

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Walgreens Specialty Pharmacy #11600 · 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 1548474133

Walgreen Co's National Provider Identifier is 1548474133, issued on May 10, 2007. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Jackson, TN. The record was last updated on Jan 30, 2026.