# WALGREEN CO

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WALGREENS HOLDING COMPANY
- **Other names:** Nissan Family Pharmacy \#12952
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1669527677
- **Legal business name:** WALGREENS HOLDING COMPANY
- **Authorized official:** KIRA TAYLOR (MANAGER)
- **Authorized official phone:** (217) 709-2351

## Contact information

- **Practice address:** 300 NISSAN DR, CANTON, MS 39046-8562
- **Practice address phone:** (601) 407-1545
- **Practice address fax:** (601) 407-1550
- **Mailing address:** 1901 E VOORHEES ST, MS \#790, DANVILLE, IL 61834-4509
- **Mailing address phone:** (217) 709-2351
- **Mailing address fax:** (217) 709-2344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 05763 0.26 | MS | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 10/12/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2521323 | NCPDP | MS |