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Organization
WALGREEN CO
Active
Organization
WALGREEN CO
Active
Parent organization
WALGREENS HOLDING COMPANY
Other names
WALGREENS # 15148
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS HOLDING COMPANY
Authorized official
KIRA TAYLOR (MANAGER)
(217) 709-2351
Entity
Organization
Contact information
Practice address
7950 W JEFFERSON BLVD STE 1B005, FORT WAYNE, IN 46804-4140
(260) 432-3110
(260) 432-2990
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
60006292A
IN
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0081105
—
OH
05
—
1437445137
—
MI
01
—
1563370
NCPDP
—
01
—
201074390A
MEDICAID DME
IN
05
—
201074390A
—
IN
Enumeration date
06/22/2011
Last updated
06/03/2026
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