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Organization
WALGREEN CO
Active
Organization
WALGREEN CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIRGINIA GARZA (DIRECTOR)
(217) 709-2364
Entity
Organization
Contact information
Practice address
108 WILMOT RD, DEERFIELD, IL 60015-5145
(847) 914-3154
(217) 709-2344
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
251E00000X
Home Health Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
333600000X
Pharmacy
Primary
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
01/24/2007
Last updated
07/24/2024
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