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Walgreen Co — NPI 1043316425, Rexburg, ID | NPI Central

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NPI 1043316425

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Walgreen Co

NPI 1043316425 · Pharmacy · Rexburg, ID

Provider details

NPI number: 1043316425
Entity type: Organization
Primary specialty: PharmacySuppliers
Parent organization: Walgreens Boots Alliance Inc
Organization subpart: Yes
Authorized official: Kira Taylor, Manager(217) 709-2351

Specialties & taxonomies

PharmacyPrimary333600000XLicense 38645RP (ID)
Suppliers
Community/Retail Pharmacy3336C0003X
Suppliers
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers

Practice location

164 E Main St

Rexburg, ID 83440-1912

Phone: (208) 227-5076

Fax: (208) 227-5079

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

1901 E Voorhees St

Danville, IL 61834-4509

Other names (DBA / former)

Doing business as: Walgreens #9918
Doing business as: Walgreens #9918

Registry dates

Enumerated: 2006-09-15
Last updated: 2023-11-01
Certified: 2023-11-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.