Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Walgreen Co

Organization Durable Medical Equipment & Medical Supplies · NPI 1063427185

Walgreen Co is a Durable Medical Equipment & Medical Supplies in Ellenwood, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
Specialties on file
3
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Practice location Address checks out

315 Fairview Rd
Ellenwood, GA 30294-2634
Phone: (770) 474-2438
Fax: (770) 474-8351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence PHRE009022 (GA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1063427185
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWalgreens Boots Alliance Inc
Authorized official Virginia Garza — Manager · (217) 709-2364
Other names Walgreens #09621; Walgreens #09621
NPI enumeratedJuly 29, 2006
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024
Mailing address1901 E Voorhees St, Ms 790, Danville, IL 61834-4509

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