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NPI 1790790913

OrganizationActive

Walgreen Co

NPI 1790790913 · Pharmacy · Lyons, IL

Provider details

NPI number: 1790790913
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 054.019277 (IL)
Suppliers
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers
Community/Retail Pharmacy3336C0003X
Suppliers

Practice location

4101 1st Ave

Lyons, IL 60534-1028

Phone: (708) 447-6851

Fax: (708) 447-0568

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

1901 E Voorhees St

Danville, IL 61834-4509

Other names (DBA / former)

Doing business as: Walgreens #01450
Doing business as: Walgreens #01450

Registry dates

Enumerated: 2006-07-29
Last updated: 2023-11-02
Certified: 2023-11-02

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

Walgreen Co — NPI 1790790913, Lyons, IL | NPI Central