Whalio Doctors

NPI 1093996399

Walgreen Co

Organisation Pharmacy Idaho Falls, ID

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
Suppliers Taxonomy 333600000X Licence 37895RP (ID)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Community/Retail Pharmacy
Suppliers Taxonomy 3336C0003X

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.