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Walgreen Co — NPI 1114440054, Riverside, RI | NPI Central

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NPI 1114440054

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Walgreen Co

NPI 1114440054 · Pharmacy · Riverside, RI

Provider details

NPI number: 1114440054
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 PHA00657 (RI)
Suppliers
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers
Community/Retail Pharmacy3336C0003X
Suppliers

Practice location

1086 Willett Ave

Riverside, RI 02915-2067

Phone: (401) 433-5710

Fax: (401) 433-5713

Approximate (ZIP-level) locationGet directions

More RI providers

Mailing address

1901 E Voorhees St

Danville, IL 61834-4509

Other names (DBA / former)

Doing business as: Walgreens #18378

Registry dates

Enumerated: 2017-07-24
Last updated: 2022-06-06
Certified: 2022-06-06

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