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

Walgreen Co /ILL

Organization Community/Retail Pharmacy · NPI 1194002774

Walgreen Co /ILL is a Community/Retail Pharmacy in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2011.

Licensed in
UT
In the registry since
2011

Practice location Address checks out

4040 W 5415 S
Salt Lake City, UT 84118-4308
Phone: (801) 982-1912
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 9691412-1701 (UT)

Record details

NPI number1194002774
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chad Jolley — Pharmacist · (801) 982-1912
NPI enumeratedNovember 9, 2011
Last updated in NPPESNovember 9, 2011
Mailing address200 Wilmot Rd, Deerfield, IL 60015-4620

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