Organization · Type 2 NPI

Walgreen Co

Pharmacy · Chicago, IL

NPI number 1629380100 Active

Practice location

711 W North Ave Ste 204
Chicago, IL 60610-1004

Call (312) 944-0867 Map

Fax (312) 944-0917

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	054-017638 (IL)
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…

Another provider at this address

Eric Zupancic, PharmDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Chicago, IL NPI 1447536628

Other pharmacy providers in Chicago

See all in Chicago →

NPI record

NPI: 1629380100
Entity type: Organization (Type 2)
Issued: Jul 13, 2010
Last updated: Apr 21, 2022
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Walgreens #13975 · doing business as
Walgreens #13975 · 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 1629380100

Walgreen Co's National Provider Identifier is 1629380100, issued on Jul 13, 2010. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Chicago, IL. The record was last updated on Apr 21, 2022.