Walgreen Co

Pharmacy · Lilburn, GA

Organization Active NPI

NPI number 1073037487

Practice location

4101 Five Forks Trickum Rd SW
Lilburn, GA 30047-3129

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NPI record

NPI
1073037487
Entity type
Organization (Type 2)
Enumeration date
July 27, 2017
Last updated
April 30, 2018
Organization subpart
Yes
Parent organization
Walgreens Boots Alliance Inc

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacy Primary 333600000X PHRE010465 GA
Durable Medical Equipment & Medical Supplies 332B00000X — —
Community/Retail Pharmacy 3336C0003X — —

Mailing address

1901 E Voorhees St # Ms 790
Danville, IL 61834-4509
Phone
(217) 709-2386
Fax
(217) 709-2344

Authorized official

Name
Alyssa Sweeten
Title
Manager
Phone
(217) 709-2386

Other names

  • Rite Aid #11706
  • Rite Aid #11706

About Walgreen Co

Walgreen Co is a healthcare organization registered in the NPI registry with the primary taxonomy Pharmacy (code 333600000X). The practice location is 4101 Five Forks Trickum Rd SW, Lilburn, GA 30047-3129. The NPI number 1073037487 was assigned on July 27, 2017 and the record was last updated on April 30, 2018.

Walgreen Co lists a license in the registry: #PHRE010465 (GA) for Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Alyssa Sweeten, Manager.

Frequently asked questions

What is the NPI number of Walgreen Co?

The NPI number is 1073037487.

Where is Walgreen Co located?

4101 Five Forks Trickum Rd SW, Lilburn, GA 30047-3129.

What is the taxonomy code for Walgreen Co?

The primary taxonomy code is 333600000X – Pharmacy; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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