Organization · Type 2 NPI

Walgreen Co

Pharmacy · Providence Forge, VA

NPI number 1609399419 Active

Practice location

9125 Pocahontas Trl
Providence Forge, VA 23140-3401

Call (804) 966-2151 Map

Fax (804) 966-5017

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	0201001172 (VA)
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…

NPI record

NPI: 1609399419
Entity type: Organization (Type 2)
Issued: Jul 24, 2017
Last updated: Feb 20, 2023
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Walgreens #17487 · doing business as
Walgreens #17487 · doing business as

Authorized official

Kira Taylor
Manager
(217) 709-2351

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 1609399419

Walgreen Co's National Provider Identifier is 1609399419, issued on Jul 24, 2017. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Providence Forge, VA. The record was last updated on Feb 20, 2023.