Organization · Type 2 NPI

Walgreen Co

Pharmacy · Jacksonville, FL

NPI number 1730673385 Active

Practice location

1301 Palm Ave Ste 210
Jacksonville, FL 32207-8432

Call (904) 559-3504 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
Pharmacy	333600000X	PH31617 (FL)
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

Southern Baptist Hospital of Florida, IncCommunity/Retail Pharmacy Jacksonville, FL NPI 1134082753

Other pharmacy providers in Jacksonville

See all in Jacksonville →

NPI record

NPI: 1730673385
Entity type: Organization (Type 2)
Issued: Jun 18, 2018
Last updated: Nov 11, 2024
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Walgreens Specialty Pharmacy #21162 · doing business as

Authorized official

Jennifer Ponce
Manager
(847) 527-2489

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 1730673385

Walgreen Co's National Provider Identifier is 1730673385, issued on Jun 18, 2018. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 11, 2024.