Organization
WALGREEN CO
Active
Parent organization
WALGREEN CO
Other names
WALGREENS #06765
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREEN CO
Authorized official
KIRA L TAYLOR (MANAGER)
(217) 709-2351
Entity
Organization
Contact information
Practice address
108 E HIGHLAND DR, JONESBORO, AR 72401-5940
(870) 802-3749
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
20323
AR
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0421482
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
146315407
—
AR
05
—
157835716 DME
—
AR
05
—
606238707
—
MO
05
—
626238703 DME
—
MO
Enumeration date
07/29/2006
Last updated
05/11/2022
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