Organization · Type 2 NPI

Walgreen Co.

Pharmacy · Willow Park, TX

NPI number 1679250930 Active

Practice location

5118 E Interstate 20 Service Rd S
Willow Park, TX 76008-2630

Call (817) 441-5982 Map

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	None listed
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: 1679250930
Entity type: Organization (Type 2)
Issued: Jun 29, 2023
Last updated: Jan 31, 2024
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Walgreens #21521 · doing business as
Walgreens #21521 · doing business as

Authorized official

Kira L 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 1679250930

Walgreen Co.'s National Provider Identifier is 1679250930, issued on Jun 29, 2023. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Willow Park, TX. The record was last updated on Jan 31, 2024.