# WALGREEN CO./ILL.

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194002774
- **Authorized official:** DR. CHAD JOLLEY PHARM D (PHARMACIST)
- **Authorized official phone:** (801) 982-1912

## Contact information

- **Practice address:** 4040 W 5415 S, SALT LAKE CITY, UT 84118-4308
- **Practice address phone:** (801) 982-1912
- **Mailing address:** 200 WILMOT RD, DEERFIELD, IL 60015-4620
- **Mailing address phone:** (801) 982-1912
- **Mailing address fax:** (801) 982-1932

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 9691412-1701 | UT | Yes |

## Other

- **Enumeration date:** 11/09/2011
- **Last updated:** 11/09/2011