Organization

Walgreen Co

May also be knows as Walgreens #05335

Pharmacy in Port Saint Lucie, FL(View on Map)

Legal Business Name

Walgreen Co

Also Known As

Walgreens #05335

NPI Number

1558378547

NPI Type

Organization

Enumeration Date

08/02/2006

Specialties

(Taxonomies)

Code

333600000X
3336C0003X
332B00000X

Primary Taxonomy

Yes
No
No

Licenses

State

Florida

License Number

PH0009537

Contact
Information

Purpose

Mailing
Location

Address

1901 E VOORHEES ST
7620 S US HIGHWAY 1

City

Danville
Port Saint Lucie

State

IL
FL

Postal Code

61834-4509
34952-2320

Country

US
US

Telephone Number

(217) 709-2351
(772) 878-1505

Authorized Official

Name

Kira Taylor

Title or Position

MANAGER

Telephone Number

(217) 709-2351

Identifiers

Identifier

1054775
109537400
109537401 DME

Identifier State

Unknown
FL
FL

Identifier Issuer

OTHER ID NUMBER-COMMERCIAL NUMBER
Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/26/2022

Provider Address

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