Walgreen Co

Pharmacy · Manassas, VA

Organization Active NPI

NPI number 1407082043

Practice location

10671 Sudley Manor Dr
Manassas, VA 20109-2844
Phone
(703) 257-2894
Fax
(703) 361-2315

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NPI record

NPI
1407082043
Entity type
Organization (Type 2)
Enumeration date
June 10, 2009
Last updated
October 30, 2023
Certified
October 30, 2023
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 0201004298 VA

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 #11234
  • Walgreens #11234

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 10671 Sudley Manor Dr, Manassas, VA 20109-2844. The NPI number 1407082043 was assigned on June 10, 2009 and the record was last updated on October 30, 2023.

Walgreen Co lists a license in the registry: #0201004298 (VA) for Community/Retail Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.

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 1407082043.

What is the phone number of Walgreen Co?

The phone number listed for the practice location is (703) 257-2894.

Where is Walgreen Co located?

10671 Sudley Manor Dr, Manassas, VA 20109-2844.

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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