Organization
WALGREEN CO
Active
Parent organization
WALGREEN CO
Other names
DENSO Family Pharmacy #16487
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREEN CO
Authorized official
KIRA TAYLOR (MANAGER)
(217) 709-2351
Entity
Organization
Contact information
Practice address
4909 WAYNE RD, BATTLE CREEK, MI 49037-7323
(269) 963-5991
(269) 963-5992
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
5301009155
MI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2367680
NCPDP
MI
Enumeration date
01/22/2007
Last updated
05/06/2022
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