Organization · Type 2 NPI

Walgreen Co

Pharmacy · San Angelo, TX

NPI number 1609125111 Active

Practice location

2828 N Bryant Blvd
San Angelo, TX 76903-2865

Call (325) 655-4957 Map

Fax (325) 659-5159

Mailing address

1901 E Voorhees St, Ms 790
Danville, IL 61834-4509

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory	291U00000X	None listed
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	28203 (TX)
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…

2 other providers at this address

Other pharmacy providers in San Angelo

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NPI record

NPI: 1609125111
Entity type: Organization (Type 2)
Issued: Aug 30, 2012
Last updated: Feb 23, 2023
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Walgreens #12982 · doing business as
Walgreens #12982 · 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 1609125111

Walgreen Co's National Provider Identifier is 1609125111, issued on Aug 30, 2012. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in San Angelo, TX. The record was last updated on Feb 23, 2023.