Whalio Doctors

NPI 1043316425

Walgreen Co

Organisation Pharmacy Rexburg, ID

Practice location

Address
164 E Main St, Rexburg, ID 83440-1912
Phone
(208) 227-5076
Fax
(208) 227-5079
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 38645RP (ID)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Community/Retail Pharmacy
Suppliers Taxonomy 3336C0003X

Registry record

NPI
1043316425
Entity type
Organization
NPI issued
15 Sep 2006
Record last updated
1 Nov 2023

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.