Organization
WALGREEN SPECIALTY PHARMACY LLC
Active
Parent organization
WALGREEN CO
Other names
WALGREEN SPECIALTY PHARMACY #12201
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREEN CO
Authorized official
MR. KERMIT R CRAWFORD (SR CORPORATE VICE PRESIDENT)
(847) 914-3154
Entity
Organization
Contact information
Practice address
1143 HIGHLAND DR, SUITE D, ANN ARBOR, MI 48108-2237
(888) 282-5166
Mailing address
1901 E VOORHEES ST, MS 790, DANVILLE, IL 61834-4509
(217) 709-2386
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
11/11/2010
Last updated
01/20/2011
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