Organization · Type 2 NPI

Walgreen Co

Pharmacy · Waterloo, IA

NPI number 1699934562 Active

Practice location

1850 Logan Ave
Waterloo, IA 50703-1917

Call (319) 296-7761 Map

Fax (319) 296-7767

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	1347 (IA)
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

Hemanshu Patel, RPHPharmacist Waterloo, IA NPI 1992072110

Other pharmacy providers in Waterloo

See all in Waterloo →

NPI record

NPI: 1699934562
Entity type: Organization (Type 2)
Issued: Jun 5, 2008
Last updated: Oct 12, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

<unavail>
Walgreens #10855 · doing business as
Walgreens #10855 · doing business as

Authorized official

Kira L 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 1699934562

Walgreen Co's National Provider Identifier is 1699934562, issued on Jun 5, 2008. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Waterloo, IA. The record was last updated on Oct 12, 2026.