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Organization

WALGREEN CO

Active
Parent organization
WALGREEN CO
Other names
WALGREENS #06834
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
4400 NW 23RD ST, OKLAHOMA CITY, OK 73107-2644
(405) 943-9899
Mailing address
1901 E VOORHEES ST, MAILSTOP #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
1-4590
OK
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100247300A
OK
05
100793300A DME
OK
01
3723310
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
08/02/2006
Last updated
05/11/2022
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