Walgreen Co

Pharmacy · Jackson, MS

Organization Active NPI

NPI number 1639677230

Practice location

971 Lakeland Dr Ste 101
Jackson, MS 39216-4607
Phone
(601) 718-1898
Fax
(601) 718-1899

Open in Google Maps

NPI record

NPI
1639677230
Entity type
Organization (Type 2)
Enumeration date
January 29, 2018
Last updated
June 13, 2022
Certified
June 13, 2022
Organization subpart
Yes
Parent organization
Walgreens Boots Alliance Inc

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacy Primary 333600000X 17010 MS
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
Kira Taylor
Title
Manager
Phone
(217) 709-2351

Other names

  • Walgreens #21165
  • Walgreens #21165

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 971 Lakeland Dr Ste 101, Jackson, MS 39216-4607. The NPI number 1639677230 was assigned on January 29, 2018 and the record was last updated on June 13, 2022.

Walgreen Co lists a license in the registry: #17010 (MS) for 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 1639677230.

What is the phone number of Walgreen Co?

The phone number listed for the practice location is (601) 718-1898.

Where is Walgreen Co located?

971 Lakeland Dr Ste 101, Jackson, MS 39216-4607.

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.

Other Pharmacy providers in Jackson

All Pharmacy providers in Jackson, MS →