Organization
WALGREEN OF SAN PATRICIO INC
Active
Parent organization
WALGREEN CO
Other names
WALGREENS #438
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREEN CO
Authorized official
MR. DONALD C HUONKER JR. (CORPORATE VICE PRESIDENT)
(847) 914-3154
Entity
Organization
Contact information
Practice address
CALLE 1 & CARR 3, LOIZA, PR 00627
(787) 256-2626
Mailing address
1901 E VOORHEES ST, M/S 720, DANVILLE, IL 61834-6250
(217) 554-8964
(217) 554-8546
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4018671
NCPDP
—
Enumeration date
06/07/2006
Last updated
09/30/2008
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