Walgreen Co

Mail Order Pharmacy · Northlake, TX

Organization Active NPI

NPI number 1366028995

Practice location

4100 Dale Earnhardt Way Ste 200
Northlake, TX 76262-2389
Phone
(817) 859-1400

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NPI record

NPI
1366028995
Entity type
Organization (Type 2)
Enumeration date
March 23, 2021
Last updated
October 5, 2023
Certified
October 5, 2023
Organization subpart
Yes
Parent organization
Walgreens Boots Alliance Inc

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Mail Order Pharmacy Primary 3336M0002X — —
Durable Medical Equipment & Medical Supplies 332B00000X — —
Pharmacy 333600000X — —

Mailing address

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

Authorized official

Name
Kira Taylor
Title
Manager
Phone
(217) 709-2351

Other names

  • Walgreens #21373
  • Walgreens #21373

About Walgreen Co

Walgreen Co is a healthcare organization registered in the NPI registry with the primary taxonomy Mail Order Pharmacy (code 3336M0002X). The practice location is 4100 Dale Earnhardt Way Ste 200, Northlake, TX 76262-2389. The NPI number 1366028995 was assigned on March 23, 2021 and the record was last updated on October 5, 2023.

The authorized official for this organization is Kira Taylor, Manager.

Frequently asked questions

What is the NPI number of Walgreen Co?

The NPI number is 1366028995.

What is the phone number of Walgreen Co?

The phone number listed for the practice location is (817) 859-1400.

Where is Walgreen Co located?

4100 Dale Earnhardt Way Ste 200, Northlake, TX 76262-2389.

What is the taxonomy code for Walgreen Co?

The primary taxonomy code is 3336M0002X – Mail Order 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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