Organization · Type 2 NPI

Walgreen Co

Pharmacy · Lafayette, IN

NPI number 1912189259 Active

Practice location

2800 Old US Highway 231 S
Lafayette, IN 47909-2411

Call (765) 471-1013 Map

Fax (765) 477-6480

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	60006107A (IN)
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…

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NPI record

NPI: 1912189259
Entity type: Organization (Type 2)
Issued: Nov 28, 2007
Last updated: Oct 26, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

<unavail>
Walgreens #10974 · doing business as
Walgreens #10974 · 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.

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About NPI 1912189259

Walgreen Co's National Provider Identifier is 1912189259, issued on Nov 28, 2007. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Lafayette, IN. The record was last updated on Oct 26, 2026.