Organization · Type 2 NPI

Walgreen Co

Pharmacy · Tyler, TX

NPI number 1679588669 Active

Practice location

5415 S Broadway Ave
Tyler, TX 75703-1397

Call (903) 939-9298 Map

Fax (903) 939-9323

Mailing address

1901 E Voorhees St, Ms 790
Danville, IL 61834-4515

Specialties and licenses

TaxonomyCodeLicense
Clinical Medical Laboratory 291U00000XNone listed
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Pharmacy Primary 333600000X20581 (TX)
Community/Retail Pharmacy 3336C0003XNone 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…

14 other providers at this address

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About NPI 1679588669

Walgreen Co's National Provider Identifier is 1679588669, issued on Jul 29, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Tyler, TX. The record was last updated on Feb 9, 2026.