NPI 1164750667

Walgreen Co

Organisation Pharmacy Kingman, AZ

Practice location

Address: 1925 E Andy Devine Ave, Kingman, AZ 86401-7101
Phone: (928) 753-7766
Fax: (928) 753-7786
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 Y005214 (AZ)

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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: 1164750667
Entity type: Organization
NPI issued: 23 Nov 2009
Record last updated: 8 Apr 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.