Walgreen Co

Pharmacy · MC Lean, VA

Organization Active NPI

NPI number 1336717164

Practice location

1680 Capital One Dr Ste 100RX
MC Lean, VA 22102-3407
Phone
(571) 581-3147
Fax
(571) 581-3148

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NPI record

NPI
1336717164
Entity type
Organization (Type 2)
Enumeration date
June 17, 2021
Last updated
September 30, 2024
Certified
September 30, 2024
Organization subpart
Yes
Parent organization
Walgreens Boots Alliance Inc

Specialties & taxonomy codes

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

Mailing address

1901 E Voorhees St
Ms 790
Danville, IL 61834-4509
Phone
(217) 709-2351
Fax
(217) 709-2344

Authorized official

Name
Jennifer Ponce
Title
Manager
Phone
(847) 527-2489

Other names

  • Be Well Pharmacy at Tyson

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 1680 Capital One Dr Ste 100RX, MC Lean, VA 22102-3407. The NPI number 1336717164 was assigned on June 17, 2021 and the record was last updated on September 30, 2024.

The authorized official for this organization is Jennifer Ponce, Manager.

Frequently asked questions

What is the NPI number of Walgreen Co?

The NPI number is 1336717164.

What is the phone number of Walgreen Co?

The phone number listed for the practice location is (571) 581-3147.

Where is Walgreen Co located?

1680 Capital One Dr Ste 100RX, MC Lean, VA 22102-3407.

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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