Organization · Type 2 NPI

Walgreen Co

Pharmacy · Brookhaven, GA

NPI number 1609104702 Active

Practice location

2320 N Druid Hills Rd NE
Brookhaven, GA 30329-3109

Call (404) 248-1793 Map

Fax (404) 248-1919

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	PHRE009643 (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 Brookhaven

See all in Brookhaven →

NPI record

NPI: 1609104702
Entity type: Organization (Type 2)
Issued: Dec 1, 2009
Last updated: Nov 24, 2025
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Walgreens #12262 · doing business as
Walgreens #12262 · doing business as

Authorized official

Jennifer Ponce
Manager
(847) 527-2489

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.

Is this your record? How to update it.

About NPI 1609104702

Walgreen Co's National Provider Identifier is 1609104702, issued on Dec 1, 2009. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Brookhaven, GA. The record was last updated on Nov 24, 2025.