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Organization
WALGREEN CO
Active
Organization
WALGREEN CO
Active
Parent organization
WALGREEN CO
Other names
Walgreens #15532
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREEN CO
Authorized official
KERMIT R CRAWFORD (PRESIDENT)
(847) 315-3154
Entity
Organization
Contact information
Practice address
8402 HARCOURT RD STE 120, INDIANAPOLIS, IN 46260-2006
(314) 334-0810
Mailing address
1901 E VOORHEES ST, MS 790, DANVILLE, IL 61834-4509
(217) 709-2386
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1564726
NCPDP
IN
Enumeration date
06/13/2013
Last updated
04/14/2014
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