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Organization
WALGREEN CO
Active
Organization
WALGREEN CO
Active
Parent organization
WALGREEN CO
Other names
Walgreens #03035
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREEN CO
Authorized official
MR. KERMIT R. CRAWFORD (SR. VICE PRESIDENT)
(847) 914-3154
Entity
Organization
Contact information
Practice address
6201 CENTRAL AVE NE, ALBUQUERQUE, NM 87108-1806
(505) 217-9907
Mailing address
1901 E VOORHEES ST, MAILSTOP #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
P1313
NM
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1210382
—
LA
01
—
3200083
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
36265973003
—
NE
05
—
56754
—
NM
Enumeration date
07/29/2006
Last updated
06/11/2008
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