Organization · Type 2 NPI

Walgreen Co

Pharmacy · Caldwell, ID

NPI number 1902087794 Active

Practice location

4110 S 10th Ave
Caldwell, ID 83605-5706

Fax (208) 402-0160

Mailing address

1901 E Voorhees St, Ms 790
Danville, IL 61834-4509

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Pharmacy Primary 333600000X38485RP (ID)
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…

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About NPI 1902087794

Walgreen Co's National Provider Identifier is 1902087794, issued on Nov 20, 2007. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Caldwell, ID. The record was last updated on Aug 31, 2026.