# WALGREENS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Walgreens
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578831699
- **Authorized official:** DR. JEREMY LOWELL HAWKES PHARMD (PHARMACY MANAGER)
- **Authorized official phone:** (801) 616-5223

## Contact information

- **Practice address:** 1315 N STATE ST, PROVO, UT 84604-2416
- **Practice address phone:** (801) 616-5223
- **Mailing address:** 1315 N STATE ST, PROVO, UT 84604-2416
- **Mailing address phone:** (801) 616-5223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 6609157-1701 | UT | Yes |

## Other

- **Enumeration date:** 12/03/2011
- **Last updated:** 12/03/2011