Organization · Type 2 NPI

Walgreen Co

Pharmacy · Vancouver, WA

NPI number 1649285636 Active

Practice location

6708 NE 63rd St
Vancouver, WA 98661-1915

Call (360) 696-0759 Map

Fax (360) 696-0215

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	CF60183443 (WA)
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

Bryan John Knobel, PHARMACISTPharmacist Vancouver, WA NPI 1255602728

Other pharmacy providers in Vancouver

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NPI record

NPI: 1649285636
Entity type: Organization (Type 2)
Issued: Jul 29, 2006
Last updated: Aug 26, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

<unavail>
Walgreens #11635 · doing business as
Walgreens #11635 · 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.

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About NPI 1649285636

Walgreen Co's National Provider Identifier is 1649285636, issued on Jul 29, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Vancouver, WA. The record was last updated on Aug 26, 2026.