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Organization
WALGREEN CO
Active
Organization
WALGREEN CO
Active
Parent organization
WALGREEN CO
Other names
WALGREENS #01270
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREEN CO
Authorized official
MR. KERMIT R CRAWFORD (SR CORPORATE VICE PRESIDENT)
(847) 914-3154
Entity
Organization
Contact information
Practice address
5627 N LINCOLN AVE, CHICAGO, IL 60659-4921
(773) 728-7916
Mailing address
1901 E VOORHEES ST, MS 720, DANVILLE, IL 61834-4509
(217) 554-8964
(217) 554-8546
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
54008022
IL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1446889
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
362127039884
—
IL
Enumeration date
07/29/2006
Last updated
12/09/2009
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