Walgreen Co.

Pharmacy · Mount Vernon, IL

Organization Active NPI

NPI number 1447335765

Practice location

5100 Lake Ter NE
Mount Vernon, IL 62864-9665
Phone
(618) 244-8793

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NPI record

NPI
1447335765
Entity type
Organization (Type 2)
Enumeration date
October 26, 2006
Last updated
November 15, 2022
Certified
November 15, 2022
Organization subpart
Yes
Parent organization
Walgreens Boots Alliance Inc

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacy Primary 333600000X — —
Clinical Medical Laboratory 291U00000X — —
Durable Medical Equipment & Medical Supplies 332B00000X — —

Mailing address

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

Authorized official

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

Other names

  • Walgreens #5995
  • Walgreens #5995

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 5100 Lake Ter NE, Mount Vernon, IL 62864-9665. The NPI number 1447335765 was assigned on October 26, 2006 and the record was last updated on November 15, 2022.

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

Frequently asked questions

What is the NPI number of Walgreen Co.?

The NPI number is 1447335765.

What is the phone number of Walgreen Co.?

The phone number listed for the practice location is (618) 244-8793.

Where is Walgreen Co. located?

5100 Lake Ter NE, Mount Vernon, IL 62864-9665.

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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