Organization · Type 2 NPI

Walgreen Co

Pharmacy · Grovetown, GA

NPI number 1588078778 Active

Practice location

898 Horizon South Pkwy
Grovetown, GA 30813-3037

Call (706) 619-2248 Map

Fax (706) 619-2249

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	PHRE010065 (GA)
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…

6 other providers at this address

Other pharmacy providers in Grovetown

Georgia CVS Pharmacy, L.l.c.Pharmacy Grovetown, GA NPI 1477656247

See all in Grovetown →

NPI record

NPI: 1588078778
Entity type: Organization (Type 2)
Issued: Jun 16, 2014
Last updated: Jul 30, 2024
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Walgreens #15592 · doing business as
Walgreens #15592 · doing business as

Authorized official

Virginia Garza
Manager
(217) 709-2364

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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 1588078778

Walgreen Co's National Provider Identifier is 1588078778, issued on Jun 16, 2014. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Grovetown, GA. The record was last updated on Jul 30, 2024.