Organization
WALGREEN CO
Active
Parent organization
WALGREEN CO
Other names
WALGREENS #02380
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREEN CO
Authorized official
MR. KERMIT R CRAWFORD (CORPORATE VICE PRESIDENT)
(847) 914-3154
Entity
Organization
Contact information
Practice address
6782 W GREENFIELD AVE, WEST ALLIS, WI 53214-4900
(414) 453-2111
Mailing address
1901 E VOORHEES ST, MS 720, DANVILLE, IL 61834-4509
(217) 554-8964
(217) 554-8546
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
6990
WI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33164300
—
WI
01
—
5119563
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/29/2006
Last updated
07/15/2008
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