Organization · Type 2 NPI

Walgreen Co

Pharmacy · Fayetteville, AR

NPI number 1952564205 Active

Practice location

2964 W Martin Luther King Blvd
Fayetteville, AR 72704-7682

Call (479) 521-5103 Map

Fax (479) 521-5282

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	AR20857 (AR)
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

Christopher Michael Lamb, PHARM DPharmacist Fayetteville, AR NPI 1053693721

Other pharmacy providers in Fayetteville

See all in Fayetteville →

NPI record

NPI: 1952564205
Entity type: Organization (Type 2)
Issued: Jul 8, 2008
Last updated: Oct 25, 2023
Status: Active
Subpart: Yes of Walgreens Boots Alliance Inc

Other names

<unavail>
Walgreens #11781 · doing business as
Walgreens #11781 · 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 1952564205

Walgreen Co's National Provider Identifier is 1952564205, issued on Jul 8, 2008. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Fayetteville, AR. The record was last updated on Oct 25, 2023.