Walgreen Co

Pharmacy · Stone Mountain, GA

Organization Active NPI

NPI number 1538290135

Practice location

4765 Redan Rd
Stone Mountain, GA 30088-4550
Phone
(404) 299-5322

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NPI record

NPI
1538290135
Entity type
Organization (Type 2)
Enumeration date
March 8, 2007
Last updated
September 19, 2024
Certified
September 19, 2024
Organization subpart
Yes
Parent organization
Walgreens Boots Alliance Inc

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacy Primary 333600000X PHRE009133 GA
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

  • Walgreens #07995
  • Walgreens #07995

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 4765 Redan Rd, Stone Mountain, GA 30088-4550. The NPI number 1538290135 was assigned on March 8, 2007 and the record was last updated on September 19, 2024.

Walgreen Co lists a license in the registry: #PHRE009133 (GA) for Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.

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 1538290135.

What is the phone number of Walgreen Co?

The phone number listed for the practice location is (404) 299-5322.

Where is Walgreen Co located?

4765 Redan Rd, Stone Mountain, GA 30088-4550.

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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