OrganizationActive
Walgreen Co.
NPI 1730867425 · Pharmacy · Van, TX
Provider details
- NPI number
- 1730867425
- 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
Suppliers
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Practice location
706 West Main Street
Van, TX 75790
Phone: (903) 963-3834
Approximate (ZIP-level) locationGet directions
Mailing address
1901 E Voorhees St # 790
Danville, IL 61834-4509
Other names (DBA / former)
- Doing business as
- Walgreens #21460
- Doing business as
- Walgreens #21460
Registry dates
- Enumerated
- 2023-07-11
- 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.