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Organization
WALGREEN CO
Active
Organization
WALGREEN CO
Active
Parent organization
WALGREENS HOLDING COMPANY
Other names
WALGREENS #04754
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS HOLDING COMPANY
Authorized official
KIRA L TAYLOR (MANAGER)
(217) 709-2351
Entity
Organization
Contact information
Practice address
8380 HARRISON ST, LA VISTA, NE 68128-2918
(402) 592-7990
(402) 592-7377
Mailing address
1901 E VOORHEES ST, MS 790, DANVILLE, IL 61834-4509
(217) 709-2351
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
1612
NE
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346255387
—
IA
01
—
2810439
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
599085
—
TX
Enumeration date
07/29/2006
Last updated
09/03/2026
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