Organization
WALGREEN CO./ILL.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD JOLLEY PHARM D (PHARMACIST)
(801) 982-1912
Entity
Organization
Contact information
Practice address
4040 W 5415 S, SALT LAKE CITY, UT 84118-4308
(801) 982-1912
Mailing address
200 WILMOT RD, DEERFIELD, IL 60015-4620
(801) 982-1912
(801) 982-1932
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
9691412-1701
UT
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up