NPI 1003821075

Walgreen Co

Organisation Pharmacy Puyallup, WA

Practice location

Address: 4404 S Meridian, Puyallup, WA 98373-9500
Phone: (253) 770-6484
Mailing address: 1901 E Voorhees St Ms 790, Danville, IL 61834-4509

Authorised official

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

Registered specialties (3)

Pharmacy Primary

Suppliers Taxonomy 333600000X Licence CF57034 (WA)

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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: 1003821075
Entity type: Organization
NPI issued: 29 Jul 2006
Record last updated: 3 May 2022

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.