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Organization
WALGREENS 11079
Active
Organization
WALGREENS 11079
Active
Parent organization
WALGREEN CO./ILL.
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREEN CO./ILL.
Authorized official
JON REITZ (MARKET PHARMACY DIRECTOR)
(302) 366-0335
Entity
Organization
Contact information
Practice address
38627 BENRO DR, DELMAR, DE 19940-3572
(302) 907-1010
(302) 907-1006
Mailing address
200 WILMOT RD, DEERFIELD, IL 60015-4620
(302) 366-0335
(302) 453-3168
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
380101061159913
DE
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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