NPI 1093996399
Walgreen Co
Practice location
- Address
- 1604 W Broadway St, Idaho Falls, ID 83402-3048
- Phone
- (208) 522-4655
- Fax
- (208) 522-6670
- Mailing address
- 1901 E Voorhees St Ms 790, Danville, IL 61834-4509
Authorised official
- Name
- Kira Taylor
- Title
- Manager
- Phone
- (217) 709-2351
Registered specialties (3)
Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Community/Retail Pharmacy
Registry record
- NPI
- 1093996399
- Entity type
- Organization
- NPI issued
- 15 Nov 2007
- Record last updated
- 4 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.