Organization · Type 2 NPI

Walgreen Co

Pharmacy · Missoula, MT

NPI number 1790800399 Active

Practice location

2100 Brooks St
Missoula, MT 59801-6649

Call (406) 728-2089 Map

Fax (406) 728-9267

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	1221 (MT)
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…

11 other providers at this address

Other pharmacy providers in Missoula

See all in Missoula →

NPI record

NPI: 1790800399
Entity type: Organization (Type 2)
Issued: Mar 20, 2007
Last updated: Aug 25, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

<unavail>
Walgreens #10726 · doing business as
Walgreens #10726 · doing business as

Authorized official

Kira 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 1790800399

Walgreen Co's National Provider Identifier is 1790800399, issued on Mar 20, 2007. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Missoula, MT. The record was last updated on Aug 25, 2026.