NPI 1326358904

Walgreen Co

Organisation Pharmacy Eagle, ID

Practice location

Address: 265 S Eagle Rd, Eagle, ID 83616-5907
Phone: (208) 319-0543
Fax: (208) 319-0549
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 38579RP (ID)

Other Pharmacy providers in Idaho →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

Other Durable Medical Equipment & Medical Supplies providers in Idaho →

Community/Retail Pharmacy

Suppliers Taxonomy 3336C0003X

Registry record

NPI: 1326358904
Entity type: Organization
NPI issued: 15 Oct 2010
Record last updated: 29 Mar 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.