# WALGREENS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083169841
- **Authorized official:** CARLINE JOSEPH (PHARMACIST)
- **Authorized official phone:** (773) 470-9831

## Contact information

- **Practice address:** 5036 S COTTAGE GROVE AVE, CHICAGO, IL 60615-2642
- **Practice address phone:** (773) 373-6266
- **Mailing address:** 8120 S COLFAX AVE, CHICAGO, IL 60617-1201
- **Mailing address phone:** (773) 470-9831

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 051299772 | IL | Yes |

## Other

- **Enumeration date:** 08/22/2016
- **Last updated:** 08/22/2016