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Organization
WALGREEN CO
Active
Organization
WALGREEN CO
Active
Parent organization
WALGREEN CO
Other names
WALGREENS #11606
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREEN CO
Authorized official
MR. KERMIT R CRAWFORD (SENIOR VICE PRESIDENT)
(847) 914-3154
Entity
Organization
Contact information
Practice address
237 JEFFERSON AVE., NEW LONDON, CT 06320
(860) 443-8439
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004268505 DME
—
CT
05
—
004268539
—
CT
Enumeration date
05/02/2007
Last updated
01/14/2009
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