Organization
WALGREEN CO
Active
Parent organization
WALGREEN CO
Other names
WALGREENS #03329
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREEN CO
Authorized official
MR. KERMIT R CRAWFORD (CORPORATE VICE PRESIDENT)
(847) 914-3154
Entity
Organization
Contact information
Practice address
4641 VERONA RD, MADISON, WI 53711-2736
(608) 271-3638
Mailing address
1901 E VOORHEES ST, MS 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
7428
WI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33023100
—
WI
01
—
5114727
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/02/2006
Last updated
07/14/2008
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