Organization · Type 2 NPI

Walgreen Co

Pharmacy · Costa Mesa, CA

NPI number 1710351895 Active

Practice location

1726 Superior Ave
Costa Mesa, CA 92627-3615

Call (949) 629-9714 Map

Fax (949) 629-9715

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	53777 (CA)
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…

3 other providers at this address

Other pharmacy providers in Costa Mesa

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NPI record

NPI: 1710351895
Entity type: Organization (Type 2)
Issued: Nov 30, 2015
Last updated: Jun 9, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

<unavail>
Walgreens #11652 · doing business as
Walgreens #11652 · doing business as

Authorized official

Kira L Taylor
Manager
(217) 709-2351

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About NPI 1710351895

Walgreen Co's National Provider Identifier is 1710351895, issued on Nov 30, 2015. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Costa Mesa, CA. The record was last updated on Jun 9, 2026.