NPI 1003086380

Walgreen Co

Organisation Pharmacy Jacksonville, FL

Practice location

Address: 12387 Yellow Bluff Rd, Jacksonville, FL 32226-2025
Phone: (904) 751-2744
Fax: (904) 751-7524
Mailing address: 1901 E Voorhees St Ms 790, Danville, IL 61834-4509

Authorised official

Name: Virginia Garza
Title: Manager
Phone: (217) 709-2364

Registered specialties (3)

Pharmacy Primary

Suppliers Taxonomy 333600000X Licence PH23375 (FL)

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Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Community/Retail Pharmacy

Suppliers Taxonomy 3336C0003X

Registry record

NPI: 1003086380
Entity type: Organization
NPI issued: 3 Mar 2008
Record last updated: 29 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.