Walgreen Co
Organization Active NPI Pharmacy · Veneta, OR
NPI 1306509807 · NPPES record last updated Oct 21, 2021
Key facts
- NPI
- 1306509807
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- Legal business name
- WALGREEN CO
- Practice address
- 25126 Jeans Rd
Veneta, OR 97487-9104 - Phone
- (541) 935-0903
- Fax
- (866) 273-1079
- NPI assigned
- Oct 21, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- WALGREENS BOOTS ALLIANCE INC
Authorized official
- Name
- Kira L Taylor
- Title
- Manager
- Phone
- (217) 709-2351
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Walgreen Co
- Part of
- Walgreens Holding Company
Locations
25126 Jeans Rd
Veneta, OR 97487
Phone (541) 935-0903
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | Yes | ||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
25126 Jeans Rd
Veneta, OR 97487-9104
Mailing address
1901 E Voorhees St # Ms 790
Danville, IL 61834-4509
Phone (217) 709-2351
Other names
- Walgreens #21406
Other providers in Veneta, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.