Walgreen Co

Pharmacy · Jackson, MS

Organization Active NPI

NPI number 1104831361

Practice location

3445 Terry Rd
Jackson, MS 39212-4956
Phone
(601) 372-8750

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NPI record

NPI
1104831361
Entity type
Organization (Type 2)
Enumeration date
July 29, 2006
Last updated
February 11, 2019
Organization subpart
Yes
Parent organization
Walgreens Boots Alliance Inc.

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacy Primary 333600000X 0410401WJ MS
Durable Medical Equipment & Medical Supplies 332B00000X — —
Community/Retail Pharmacy 3336C0003X — —

Mailing address

1901 E Voorhees St
M/S 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

  • Walgreens #04191
  • Walgreens #04191

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 3445 Terry Rd, Jackson, MS 39212-4956. The NPI number 1104831361 was assigned on July 29, 2006 and the record was last updated on February 11, 2019.

Walgreen Co lists a license in the registry: #0410401WJ (MS) 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 1104831361.

What is the phone number of Walgreen Co?

The phone number listed for the practice location is (601) 372-8750.

Where is Walgreen Co located?

3445 Terry Rd, Jackson, MS 39212-4956.

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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