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Walgreen Co. — NPI 1477239093, Fate, TX | NPI Central

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NPI 1477239093

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Walgreen Co.

NPI 1477239093 · Pharmacy · Fate, TX

Provider details

NPI number: 1477239093
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

PharmacyPrimary333600000X
Suppliers
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers
Community/Retail Pharmacy3336C0003X
Suppliers

Practice location

5100 I 30 E

Fate, TX 75189-8516

Phone: (469) 530-6152

Approximate (ZIP-level) locationGet directions

More TX providers

Mailing address

1901 E Voorhees St # Ms 790

Danville, IL 61834-4509

Other names (DBA / former)

Doing business as: Walgreens #21566
Doing business as: Walgreens #21566

Registry dates

Enumerated: 2023-06-27
Last updated: 2024-01-31
Certified: 2024-01-31

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