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Organization
WALGREEN CO
Active
Organization
WALGREEN CO
Active
Parent organization
WALGREEN CO
Other names
WALGREENS # 12548
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREEN CO
Authorized official
MR. KERMIT R CRAWFORD (PRESIDENT)
(847) 315-3154
Entity
Organization
Contact information
Practice address
1130 FOXWORTHY AVE, SAN JOSE, CA 94704-1209
(925) 924-0061
Mailing address
1901 E VOORHEES ST, MS 790, DANVILLE, IL 61834-4509
(217) 709-2386
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5644275
NCPDP
CA
Enumeration date
06/21/2012
Last updated
06/27/2012
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